Provider Demographics
NPI:1730293069
Name:ROSENBERG, CLAIRE (LICSW)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 MAIN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:GREAT BARRINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01230-1984
Mailing Address - Country:US
Mailing Address - Phone:413-528-0700
Mailing Address - Fax:413-528-0700
Practice Address - Street 1:244 MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:GREAT BARRINGTON
Practice Address - State:MA
Practice Address - Zip Code:01230-1984
Practice Address - Country:US
Practice Address - Phone:413-528-0700
Practice Address - Fax:413-528-0700
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10245801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP08045OtherBLUE CROSS/BLUE SHIELD
MAROP20247Medicare ID - Type UnspecifiedMEDICARE