Mireille Rosenbaum, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00134800 Issued in NJ

Practice address

658 S Forest Dr
Teaneck, NJ 07666-2013

Phone

(201) 836-7793

Fax

(201) 287-9702

NPI assigned

Apr 3, 2007

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992826317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 S FOREST DR",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662013",
            "telephone_number": "201-836-7793",
            "fax_number": "201-287-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 S FOREST DR",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662013",
            "telephone_number": "201-836-7793",
            "fax_number": "201-287-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "MIREILLE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00134800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip D Rose, PA-C
• Amy Rosen, MD
• Howard David Rosen, DMD
• Ivy Rosen, MD
• Joseph Aryeh Rosenbaum, MD
• Benjamin D Rosenbluth, M.D.
• Michal Rosenfeld
• Sarah Rosenfeld, PA-C
• Daphna Roth, PH.D.
• Pamela Rothman, PSY.D.

• Clinical Social Worker in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.