Provider Demographics
NPI:1346372786
Name:ROSEN NORAN, ANNE (LCSW)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:ROSEN NORAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:DR
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:ROSEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:240 E 76TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2941
Mailing Address - Country:US
Mailing Address - Phone:212-535-3564
Mailing Address - Fax:
Practice Address - Street 1:222 E 75TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2917
Practice Address - Country:US
Practice Address - Phone:212-535-3564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0185111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN0062Medicare ID - Type Unspecified