Provider Demographics
NPI:1629477542
Name:ROSENZWEIG, MOLLY (LSW)
Entity Type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:
Last Name:ROSENZWEIG
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MRS
Other - First Name:MALKA
Other - Middle Name:
Other - Last Name:ROSENZWEIG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LSW
Mailing Address - Street 1:1439 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5440
Mailing Address - Country:US
Mailing Address - Phone:732-523-2327
Mailing Address - Fax:
Practice Address - Street 1:1855 S TAYLOR RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-2161
Practice Address - Country:US
Practice Address - Phone:216-209-2116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-15
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1303564104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker