Provider Demographics
NPI:1396839338
Name:ROZIN, LILLIAN SARAH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LILLIAN
Middle Name:SARAH
Last Name:ROZIN
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 1:270 KIRK LN
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-2216
Mailing Address - Country:US
Mailing Address - Phone:610-675-6164
Mailing Address - Fax:
Practice Address - Street 1:2100 ARCH ST FL 5
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-1300
Practice Address - Country:US
Practice Address - Phone:267-312-4875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0153081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical