Provider Demographics
NPI:1851696645
Name:ROSENTHAL, SARAH ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:ROSENTHAL
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 1:54 ELIZABETH ST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:RED HOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12571-1720
Mailing Address - Country:US
Mailing Address - Phone:845-235-4102
Mailing Address - Fax:
Practice Address - Street 1:54 ELIZABETH ST
Practice Address - Street 2:SUITE 11
Practice Address - City:RED HOOK
Practice Address - State:NY
Practice Address - Zip Code:12571-1720
Practice Address - Country:US
Practice Address - Phone:845-235-4102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-25
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0820461041C0700X
TX411581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical