Provider Demographics
NPI:1437351020
Name:ROSENZWEIG, ISRAEL (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:ISRAEL
Middle Name:
Last Name:ROSENZWEIG
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2191 NE 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7610
Mailing Address - Country:US
Mailing Address - Phone:561-801-2448
Mailing Address - Fax:561-840-4137
Practice Address - Street 1:1 W CAMINO REAL STE 205
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5966
Practice Address - Country:US
Practice Address - Phone:561-801-2448
Practice Address - Fax:561-840-4137
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 47421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical