Alice M Rosenthal, LICENSED CLINICAL SO
Individual provider Active NPI Clinical Social Worker · Snyder, NY
NPI 1891860896 · NPPES record last updated Jun 20, 2012
Key facts
- NPI
- 1891860896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- R023407 (NY)
- Practice address
- 4511 Harlem Road
Suite 14
Snyder, NY 14226 - Phone
- (716) 833-2299
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R023407 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R023407 | NY | Yes |
Addresses
Primary practice location
4511 Harlem Road
Suite 14
Snyder, NY 14226
Mailing address
249 Crosby Boulevard
Buffalo, NY 14226
Phone (716) 835-2955
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000510980001 | Other | BLUE CR SHIELD OF WNY | |
| 6207982 | Other | UNIVERA AND INDEPENDENT H |
Other providers in Snyder, NY
- David Lawrence Ribakove
- Tina Louise Ribakove
- Richard Santucci, Rd, CDN, PLLC
- Robert Optical Inc.
- Tamara Lee Roberts
- Samantha Gray Therapy & Professional Consultation
- Jacob Michael Schwartz
- Gina M Siegel
- I Siegel
- Snyder Dental Group
All providers in Snyder, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.