Provider Demographics
NPI:1609941996
Name:ROTHMAN, ROCHEL LEAH (LMSW)
Entity Type:Individual
Prefix:MISS
First Name:ROCHEL
Middle Name:LEAH
Last Name:ROTHMAN
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 1:1151 E 12TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4811
Mailing Address - Country:US
Mailing Address - Phone:718-338-0130
Mailing Address - Fax:718-338-0130
Practice Address - Street 1:1802 AVENUE K
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-4457
Practice Address - Country:US
Practice Address - Phone:347-495-4854
Practice Address - Fax:347-495-4854
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
NY062345-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical