Provider Demographics
NPI:1124227038
Name:ROSENBERG, CARYN G (MSW)
Entity Type:Individual
Prefix:
First Name:CARYN
Middle Name:G
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 UTAH AVE
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-3008
Mailing Address - Country:US
Mailing Address - Phone:856-857-9500
Mailing Address - Fax:856-857-9120
Practice Address - Street 1:1 UTAH AVE
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-3008
Practice Address - Country:US
Practice Address - Phone:856-857-9500
Practice Address - Fax:856-857-9120
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL01397100104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker