Provider Demographics
NPI:1992902175
Name:ROSSEN, ELAINE BELL (LCSW)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:BELL
Last Name:ROSSEN
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 1:40R HIGHLAND AVE
Mailing Address - Street 2:APARTMENT 510
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2152
Mailing Address - Country:US
Mailing Address - Phone:978-744-3640
Mailing Address - Fax:
Practice Address - Street 1:57 HIGHLAND AVE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2141
Practice Address - Country:US
Practice Address - Phone:978-354-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA2024061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical