Provider Demographics
NPI:1710860994
Name:ROSSER, RENEE YOLANDE (LICSW)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:YOLANDE
Last Name:ROSSER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13156 MUSICMASTER DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-6845
Mailing Address - Country:US
Mailing Address - Phone:240-602-9782
Mailing Address - Fax:
Practice Address - Street 1:13156 MUSICMASTER DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-6845
Practice Address - Country:US
Practice Address - Phone:240-602-9782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC2000026501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical