Provider Demographics
NPI:1215212097
Name:ROSENSTEIN, JAN T (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JAN
Middle Name:T
Last Name:ROSENSTEIN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 EAST MARTON PIKE
Mailing Address - Street 2:SUITE Q30
Mailing Address - City:CHERRY HILL
Mailing Address - State:NEW JERSEY
Mailing Address - Zip Code:08003
Mailing Address - Country:UM
Mailing Address - Phone:856-343-8881
Mailing Address - Fax:
Practice Address - Street 1:1930 E MARTON PIKE
Practice Address - Street 2:SUITE Q 30
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003
Practice Address - Country:US
Practice Address - Phone:856-343-8881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054776001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical