Provider Demographics
NPI:1356892038
Name:ROSALEZ, REBECCA (LCSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:ROSALEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:STIEMENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:17121 EDGE BRANCH LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-1481
Mailing Address - Country:US
Mailing Address - Phone:281-881-7501
Mailing Address - Fax:713-610-2595
Practice Address - Street 1:800 ROCKMEAD DR STE 113
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-5019
Practice Address - Country:US
Practice Address - Phone:281-940-5820
Practice Address - Fax:833-379-4398
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-18
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX572111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical