Provider Demographics
NPI:1013680032
Name:MUNOZ, ROSEMARY (LCSW)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ROSEMARY
Other - Middle Name:
Other - Last Name:VENTURA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:25 SENATE PL APT 532
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-6137
Mailing Address - Country:US
Mailing Address - Phone:646-300-4227
Mailing Address - Fax:
Practice Address - Street 1:25 SENATE PL APT 532
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-6137
Practice Address - Country:US
Practice Address - Phone:646-300-4227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0913121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical