Provider Demographics
NPI:1689450231
Name:ROSENBERG, MAGGIE (MSW)
Entity Type:Individual
Prefix:
First Name:MAGGIE
Middle Name:
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595A CENTRAL AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-2914
Mailing Address - Country:US
Mailing Address - Phone:347-907-5638
Mailing Address - Fax:
Practice Address - Street 1:1767 PARK AVE FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-1923
Practice Address - Country:US
Practice Address - Phone:212-663-3032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker