Provider Demographics
NPI:1952287674
Name:WEISBERG, ROCHEL
Entity type:Individual
Prefix:
First Name:ROCHEL
Middle Name:
Last Name:WEISBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROCHEL
Other - Middle Name:
Other - Last Name:ROSENBAUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1120 E 12TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4812
Mailing Address - Country:US
Mailing Address - Phone:848-367-1976
Mailing Address - Fax:
Practice Address - Street 1:1120 E 12TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-4812
Practice Address - Country:US
Practice Address - Phone:848-367-1976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY126503-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker