Rosetta Abraham, LMSW

Individual provider Active NPI Clinical Social Worker · East Orange, NJ

NPI 1013211341 · NPPES record last updated Dec 30, 2010

Key facts

NPI
1013211341
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
082964-1 (NY)
Practice address
30 Melmore GDNS
East Orange, NJ 07017-2507
Phone
(973) 944-4359
NPI assigned
Dec 30, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
082964-1NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 082964-1 NY Yes

Addresses

Primary practice location

30 Melmore GDNS
East Orange, NJ 07017-2507

Mailing address

30 Melmore GDNS
East Orange, NJ 07017-2507
Phone (973) 944-4359

Other providers in East Orange, NJ

All providers in East Orange, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.