Tracey Rozenberg, LCSW

Individual provider Active NPI Clinical Social Worker · Fords, NJ

NPI 1669946901 · NPPES record last updated Jan 21, 2019

Key facts

NPI
1669946901
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC05784500 (NJ)
Practice address
4 Bell Ave
Fords, NJ 08863-1404
Phone
(973) 670-0558
NPI assigned
Jan 21, 2019
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)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05784500 NJ Yes

Addresses

Primary practice location

4 Bell Ave
Fords, NJ 08863-1404

Mailing address

4 Bell Ave
Fords, NJ 08863-1404

Other providers in Fords, NJ

All providers in Fords, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.