Provider Demographics
NPI:1922785328
Name:ROCKLAND COUNTY COUNSELING SERVICES LCSW PLLC
Entity Type:Organization
Organization Name:ROCKLAND COUNTY COUNSELING SERVICES LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ-CORDOVA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:845-540-1002
Mailing Address - Street 1:99 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-3109
Mailing Address - Country:US
Mailing Address - Phone:845-540-1002
Mailing Address - Fax:
Practice Address - Street 1:909 ASHLAND ST
Practice Address - Street 2:
Practice Address - City:VALLEY COTTAGE
Practice Address - State:NY
Practice Address - Zip Code:10989-2614
Practice Address - Country:US
Practice Address - Phone:845-540-1002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty