Provider Demographics
NPI:1710353057
Name:ROSEN, VALERIE J (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:VALERIE
Middle Name:J
Last Name:ROSEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 219
Mailing Address - Street 2:
Mailing Address - City:SPOTSWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08884-0219
Mailing Address - Country:US
Mailing Address - Phone:908-380-8238
Mailing Address - Fax:908-636-2581
Practice Address - Street 1:32 ANDERSON HILL RD
Practice Address - Street 2:
Practice Address - City:BERNARDSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07924-2319
Practice Address - Country:US
Practice Address - Phone:908-380-8238
Practice Address - Fax:908-636-2581
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-20
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC056165001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ462092ZPV0Medicare PIN