Provider Demographics
NPI:1598937948
Name:ROSENBLUM, RUTH (LCSWR)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:
Last Name:ROSENBLUM
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:
Other - Last Name:FLYNN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:71 CASSILIS AVE
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-1204
Mailing Address - Country:US
Mailing Address - Phone:914-450-5776
Mailing Address - Fax:914-793-7842
Practice Address - Street 1:71 CASSILIS AVENUE
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-1204
Practice Address - Country:US
Practice Address - Phone:914-450-5776
Practice Address - Fax:914-793-7842
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-26
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0322711104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker