Provider Demographics
NPI:1386841351
Name:RUSHING ZOGBY, JANET (LCSW-R)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:RUSHING ZOGBY
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 KIRKLAND AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NY
Mailing Address - Zip Code:13323-1426
Mailing Address - Country:US
Mailing Address - Phone:315-859-1481
Mailing Address - Fax:315-859-1481
Practice Address - Street 1:1 KIRKLAND AVE STE 103
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NY
Practice Address - Zip Code:13323-1426
Practice Address - Country:US
Practice Address - Phone:315-859-1481
Practice Address - Fax:315-859-1481
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO49932-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical