Provider Demographics
NPI:1326461989
Name:TOVAR, ROSA E (LMSW)
Entity Type:Individual
Prefix:
First Name:ROSA
Middle Name:E
Last Name:TOVAR
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 1:30 AVENUE V
Mailing Address - Street 2:APT # 1F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-4254
Mailing Address - Country:US
Mailing Address - Phone:718-449-0586
Mailing Address - Fax:
Practice Address - Street 1:30 AVENUE V
Practice Address - Street 2:APT # 1F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-4254
Practice Address - Country:US
Practice Address - Phone:917-803-0412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-31
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
NY72089626174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No174400000XOther Service ProvidersSpecialist