Provider Demographics
NPI:1558056424
Name:ROSAS, MARIE ELENA (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARIE
Middle Name:ELENA
Last Name:ROSAS
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 1:4526 BACKENBERRY DR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-8110
Mailing Address - Country:US
Mailing Address - Phone:832-629-0462
Mailing Address - Fax:
Practice Address - Street 1:3201 FM 2004 RD
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-2199
Practice Address - Country:US
Practice Address - Phone:832-720-4768
Practice Address - Fax:409-986-6500
Is Sole Proprietor?:No
Enumeration Date:2023-04-06
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX652551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical