Provider Demographics
NPI:1043430143
Name:ROSSMAN, JOAN K (MSW ACSW LISW BCD)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:K
Last Name:ROSSMAN
Suffix:
Gender:F
Credentials:MSW ACSW LISW BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 PROSPECT PL NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:07110-4332
Mailing Address - Country:US
Mailing Address - Phone:505-883-4461
Mailing Address - Fax:505-888-0477
Practice Address - Street 1:7101 PROSPECT PL NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:07110-4332
Practice Address - Country:US
Practice Address - Phone:505-883-4461
Practice Address - Fax:505-888-0477
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMNMI-01621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical