Provider Demographics
NPI:1649517244
Name:ROSADO, RAFAEL (LCSW)
Entity type:Individual
Prefix:MR
First Name:RAFAEL
Middle Name:
Last Name:ROSADO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 N. 29TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020
Mailing Address - Country:US
Mailing Address - Phone:954-276-3400
Mailing Address - Fax:954-965-6444
Practice Address - Street 1:5595 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-5307
Practice Address - Country:US
Practice Address - Phone:954-276-3419
Practice Address - Fax:954-965-6444
Is Sole Proprietor?:No
Enumeration Date:2013-01-16
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health