Deloof-Primmer, Rosetta Maria

Deloof-Primmer, Rosetta Maria is an individual health care provider with primary practice located at 450 Saint John Rd , Michigan City IN 46360-7354. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Deloof-Primmer, Rosetta Maria can be contacted via phone (219) 879-0676.

Contact Information

Primary practice address
450 Saint John Rd Michigan City IN 46360-7354
Phone: (219) 879-0676
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 33006230A Indiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 34006887A Indiana

Profile Details

NPI number 1063751790
LBN Legal business name Deloof-Primmer, Rosetta Maria
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2013
Last updated Feb 11th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063751790 NPPES
Indiana MEDICAID 100163580A

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