Provider Demographics
NPI:1376527101
Name:ROSENGARTEN, SANDRA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:
Last Name:ROSENGARTEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 PINE DR
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-3403
Mailing Address - Country:US
Mailing Address - Phone:516-883-0528
Mailing Address - Fax:516-883-0528
Practice Address - Street 1:9 PINE DR
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-3403
Practice Address - Country:US
Practice Address - Phone:516-883-0528
Practice Address - Fax:516-883-0528
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0430431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2226111OtherCIGNA
NYNB938OtherUBH,AETNA
NY7480995OtherGHI
NYNB938OtherEMPIRE/MAGELLAN
NY254994OtherMHN
NYP1099554OtherOXFORD
NYNB938OtherUBH,AETNA