Provider Demographics
NPI:1669911335
Name:ROSEMOND, SASHA (LCSW)
Entity type:Individual
Prefix:
First Name:SASHA
Middle Name:
Last Name:ROSEMOND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4317 REFLECTIONS BLVD APT 101
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-8321
Mailing Address - Country:US
Mailing Address - Phone:301-569-3647
Mailing Address - Fax:
Practice Address - Street 1:4317 REFLECTIONS BLVD APT 101
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-8321
Practice Address - Country:US
Practice Address - Phone:301-569-3647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-15
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW180921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical