Provider Demographics
NPI:1235359787
Name:ROSENBLOOM, E JOY (MSW)
Entity Type:Individual
Prefix:MS
First Name:E JOY
Middle Name:
Last Name:ROSENBLOOM
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:E
Other - Last Name:ROSENBLOOM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1901 J F KENNEDY BLVD
Mailing Address - Street 2:APT 1907
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-1515
Mailing Address - Country:US
Mailing Address - Phone:215-561-7795
Mailing Address - Fax:
Practice Address - Street 1:1901 J F KENNEDY BLVD
Practice Address - Street 2:APT 1907
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-1515
Practice Address - Country:US
Practice Address - Phone:215-561-7795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW000518L1041C0700X
NJ44SC000012001041C0700X
NJ37F100052000106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist