Provider Demographics
NPI:1750467635
Name:CUEVAS-ROGAT, MARIA P (LCSW)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:P
Last Name:CUEVAS-ROGAT
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 1:33-65 STREET
Mailing Address - Street 2:APT 2
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-4103
Mailing Address - Country:US
Mailing Address - Phone:201-868-1573
Mailing Address - Fax:
Practice Address - Street 1:33 65 TH STREET
Practice Address - Street 2:APT 2
Practice Address - City:WEST NEW YORK
Practice Address - State:NJ
Practice Address - Zip Code:07093-4103
Practice Address - Country:US
Practice Address - Phone:201-868-1573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NY0883311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health