Provider Demographics
NPI:1437592680
Name:WEILAND, ROSEMARY (LCSW-C)
Entity type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:WEILAND
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 DALE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-1308
Mailing Address - Country:US
Mailing Address - Phone:443-266-5533
Mailing Address - Fax:443-396-2958
Practice Address - Street 1:703 DALE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-1308
Practice Address - Country:US
Practice Address - Phone:443-266-5533
Practice Address - Fax:443-396-2958
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MD19452104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD19452OtherMARYLAND SW LICENSE
MD609500303Medicaid
MD609550004Medicaid
MD609550001Medicaid