Provider Demographics
NPI:1871991612
Name:ROSENBLATT, JOANNA NATHAN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:NATHAN
Last Name:ROSENBLATT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 RAPELYE ST APT 4F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-2655
Mailing Address - Country:US
Mailing Address - Phone:914-844-4853
Mailing Address - Fax:
Practice Address - Street 1:93 RAPELYE ST APT 4F
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231-2655
Practice Address - Country:US
Practice Address - Phone:914-844-4853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-10
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0784951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical