Rosa, Theresa L

Rosa, Theresa L is an individual health care provider with primary practice located at 216 Lafayette St , Schenectady NY 12305-2408. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rosa, Theresa L can be contacted via phone (518) 243-3300.

Contact Information

Primary practice address
216 Lafayette St Schenectady NY 12305-2408
Phone: (518) 243-3300
Fax: (518) 377-9151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 070315 New York

Profile Details

NPI number 1316923188
LBN Legal business name Rosa, Theresa L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316923188 NPPES
New York Other 000411811001 BSNENY
New York Other 040426032124 BSNENY
New York Other N177E1 BSNENY

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