Active NPI
Rose Tatum, LGSW
- Social Worker
- Windsor Mill, MD
National Provider Identifier
1952854929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- G10908
- Practice address
- 3625 Rockdale Ter
Windsor Mill, MD 21244-3731 - Phone
- (443) 717-0836
- NPI assigned
- Jul 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | G10908 | MD | Primary |
Addresses
Primary practice location
3625 Rockdale Ter
Windsor Mill, MD 21244-3731
Mailing address
9701 Philadelphia CT Ste R
Lanham, MD 20706-4435
Phone (301) 477-3339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G10908 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469491200000",
"number": "1952854929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9701 PHILADELPHIA CT STE R",
"city": "LANHAM",
"state": "MD",
"postal_code": "207064435",
"telephone_number": "301-477-3339",
"fax_number": "443-773-5624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 ROCKDALE TER",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212443731",
"telephone_number": "443-717-0836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATUM",
"first_name": "ROSE",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-26",
"last_updated": "2016-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "G10908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor Mill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.