Provider Demographics
NPI:1912145061
Name:ROTHENBERG-HOSNY, KAY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KAY
Middle Name:
Last Name:ROTHENBERG-HOSNY
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 1:9825 64TH RD
Mailing Address - Street 2:APT 6A
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-3452
Mailing Address - Country:US
Mailing Address - Phone:917-375-6505
Mailing Address - Fax:
Practice Address - Street 1:9004 161ST ST
Practice Address - Street 2:6TH FLOOR
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-6103
Practice Address - Country:US
Practice Address - Phone:718-291-7087
Practice Address - Fax:718-291-6697
Is Sole Proprietor?:No
Enumeration Date:2009-01-28
Last Update Date:2017-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO42059-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical