Provider Demographics
NPI:1275746927
Name:ROSENTHAL, WILLIAM PAUL (LCSW)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:PAUL
Last Name:ROSENTHAL
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 W. 56TH STREET
Mailing Address - Street 2:SUITE 16H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-4320
Mailing Address - Country:US
Mailing Address - Phone:212-479-7746
Mailing Address - Fax:
Practice Address - Street 1:211 W. 56TH STREET
Practice Address - Street 2:SUITE 16H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-4320
Practice Address - Country:US
Practice Address - Phone:212-479-7746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0734851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical