Provider Demographics
NPI:1558913681
Name:WEISS, ROCHELLE HELENE (LCSW)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:HELENE
Last Name:WEISS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SHELLY
Other - Middle Name:
Other - Last Name:WEISS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:646 ARGYLE RD APT 18E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-1633
Mailing Address - Country:US
Mailing Address - Phone:917-539-3286
Mailing Address - Fax:
Practice Address - Street 1:646 ARGYLE RD APT 18E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-1633
Practice Address - Country:US
Practice Address - Phone:917-539-3286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-09
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR219601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical