Provider Demographics
NPI:1285787911
Name:GREEN BARNES, ROSALIND (LCSWC)
Entity type:Individual
Prefix:MRS
First Name:ROSALIND
Middle Name:
Last Name:GREEN BARNES
Suffix:
Gender:F
Credentials:LCSWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9010 ROCK LEDGE COURT #403
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117
Mailing Address - Country:US
Mailing Address - Phone:410-654-0695
Mailing Address - Fax:
Practice Address - Street 1:10 WINTERS LANE
Practice Address - Street 2:THE RENAISSANCE CENTER
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228
Practice Address - Country:US
Practice Address - Phone:410-747-3360
Practice Address - Fax:410-747-3364
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13292104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker