Rosalie Rebecca Young, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR006488-1 Issued in NY

Practice address

4101 E Genesee St
Syracuse Jewish Family Service at Menorah Park
Syracuse, NY 13214-2136

Phone

(315) 446-9111

Fax

(315) 446-1537

NPI assigned

Oct 17, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Rosalie Rebecca Garber Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1851644611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 E GENESEE ST",
            "address_2": "SYRACUSE JEWISH FAMILY SERVICE AT MENORAH PARK",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142136",
            "telephone_number": "315-446-9111",
            "fax_number": "315-446-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 E GENESEE ST",
            "address_2": "SYRACUSE JEWISH FAMILY SERVICE AT MENORAH PARK",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142136",
            "telephone_number": "315-446-9111",
            "fax_number": "315-446-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ROSALIE",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR006488-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "PR006488-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSALIE",
            "last_name": "GARBER",
            "middle_name": "REBECCA",
            "prefix": "MS.",
            "credential": "MSSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eleanor Young, PHD
• Heidi Young, OTR/L
• Jennifer Young
• Kaleigh Marie Young
• Rachel L Young, NPN
• Steven Edward Young, PT, MS
• Tracee A Young, FNP-C
• Your Syracuse Family Dentist P.C.
• Mobeen Yousaf, MD
• Mahmoud Yousef

• Clinical Social Worker in Syracuse, NY
• Providers in Syracuse, 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 Oct 17, 2012; 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.