Provider Demographics
NPI:1083756092
Name:ROSENTHAL, LINDA JANE (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:JANE
Last Name:ROSENTHAL
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 BEECH ST
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1521
Mailing Address - Country:US
Mailing Address - Phone:845-876-3658
Mailing Address - Fax:845-876-3658
Practice Address - Street 1:6529 SPRINGBROOK AVE.
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1521
Practice Address - Country:US
Practice Address - Phone:845-876-2006
Practice Address - Fax:845-876-2873
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039173101YA0400X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health