Provider Demographics
NPI:1457063851
Name:ROSENSTRAUCH, KARA BRADY (LMSW)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:BRADY
Last Name:ROSENSTRAUCH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9710 SKYHILL WAY APT 408
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-4831
Mailing Address - Country:US
Mailing Address - Phone:973-986-2882
Mailing Address - Fax:
Practice Address - Street 1:6101 BAXTER DR
Practice Address - Street 2:
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746-4509
Practice Address - Country:US
Practice Address - Phone:973-986-2882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27355104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker