Provider Demographics
NPI:1467527911
Name:GATES, ROSEMARIE ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ROSEMARIE
Middle Name:ELIZABETH
Last Name:GATES
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 1:1275 15TH ST
Mailing Address - Street 2:APT 6S
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-1950
Mailing Address - Country:US
Mailing Address - Phone:646-320-5505
Mailing Address - Fax:
Practice Address - Street 1:333 E 34TH ST
Practice Address - Street 2:SUITE 1-O
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4977
Practice Address - Country:US
Practice Address - Phone:212-613-3070
Practice Address - Fax:201-886-9622
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074277-11041C0700X
NJ44SC052972001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical