Healthcare Provider Details

I. General information

NPI: 1316804230
Provider Name (Legal Business Name): ROSALIND MUGGERIDGE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 37TH STREET BROOKLYN NY 11232
BROOKLYN NY
11232
US

IV. Provider business mailing address

26 BUTLER PL APT 28
BROOKLYN NY
11238-5110
US

V. Phone/Fax

Practice location:
  • Phone: 347-305-5262
  • Fax:
Mailing address:
  • Phone: 347-742-3078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number130030
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: