Provider Demographics
NPI:1528397437
Name:ROSENTHAL, SARAH (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:ROSENTHAL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 OLD NYACK TPKE
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-4024
Mailing Address - Country:US
Mailing Address - Phone:845-426-2075
Mailing Address - Fax:845-425-7853
Practice Address - Street 1:36 OLD NYACK TPKE
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-4024
Practice Address - Country:US
Practice Address - Phone:845-426-2075
Practice Address - Fax:845-425-7853
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-24
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031784104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker