Provider Demographics
NPI:1831608488
Name:ROSSEN, HOWARD (LCSW)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:
Last Name:ROSSEN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 W 74TH ST APT 1B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-2432
Mailing Address - Country:US
Mailing Address - Phone:212-769-1942
Mailing Address - Fax:
Practice Address - Street 1:59 W 74TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-2432
Practice Address - Country:US
Practice Address - Phone:212-769-1942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical