Provider Demographics
NPI:1154633725
Name:ROSADO, JOMARI DEL CARMEN (LMSW)
Entity Type:Individual
Prefix:
First Name:JOMARI
Middle Name:DEL CARMEN
Last Name:ROSADO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2527 GLEBE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-3109
Mailing Address - Country:US
Mailing Address - Phone:718-904-4441
Mailing Address - Fax:718-931-7307
Practice Address - Street 1:2527 GLEBE AVE
Practice Address - Street 2:SUITE G20
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-3109
Practice Address - Country:US
Practice Address - Phone:718-904-4410
Practice Address - Fax:718-931-7307
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY08782OtherNEW YORK STATE LICENSE