Leslie Allison Rottenberg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R-054546 Issued in NY

Practice address

6110 Queens Blvd
Esprit Medical Care
Woodside, NY 11377-5776

Phone

(212) 609-4011

NPI assigned

Aug 26, 2015

Last updated

Aug 26, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1518334416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 QUEENS BLVD",
            "address_2": "ESPRIT MEDICAL CARE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775776",
            "telephone_number": "212-609-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 QUEENS BLVD",
            "address_2": "ESPRIT MEDICAL CARE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775776",
            "telephone_number": "212-609-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTTENBERG",
        "first_name": "LESLIE",
        "middle_name": "ALLISON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-054546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Woodside, NY
• Providers in Woodside, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.