Provider Demographics
NPI:1316701907
Name:LEE, ROSEMAY RAPINAN (MSW)
Entity type:Individual
Prefix:PROF
First Name:ROSEMAY
Middle Name:RAPINAN
Last Name:LEE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11281 GRAYTAIL PL NW
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-8619
Mailing Address - Country:US
Mailing Address - Phone:360-981-0150
Mailing Address - Fax:
Practice Address - Street 1:11281 GRAYTAIL PL NW
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8619
Practice Address - Country:US
Practice Address - Phone:360-981-0150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC614908301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty