Provider Demographics
NPI:1235419177
Name:BETCHEVA-ROTHMAN, ZLATKA G (LCSWR)
Entity Type:Individual
Prefix:
First Name:ZLATKA
Middle Name:G
Last Name:BETCHEVA-ROTHMAN
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8610 34TH AVE APT 623
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-3310
Mailing Address - Country:US
Mailing Address - Phone:917-513-4664
Mailing Address - Fax:
Practice Address - Street 1:8610 34TH AVE APT 623
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-3310
Practice Address - Country:US
Practice Address - Phone:917-513-4664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-23
Last Update Date:2022-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0757891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical