Doctor Name: | ROSITA MARIA WADEN-BROOKS |
NPI Number: | 1003043282 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 37600 |
Business Practice Address: | 4721 Garth Rd Suite C200 Baytown, TX - 775212153 |
Business Phone Number: | 8323433413 |
Business Fax Number: | 8888203626 |
Mailing Address: | Po Box 52687, HOUSTON |
State: | TX |
Postal Code: | 770522687 |
Phone Number: | 2814586466 |
Fax Number: | 8888203626 |
NPI Enumeration Date: | 06/16/2009 |
NPI Last Update Date: | 03/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 37600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |