Healthcare Provider Details
I. General information
NPI: 1407278344
Provider Name (Legal Business Name): ROSEMARY ESPERANZA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/13/2014
Last Update Date: 01/01/2023
Certification Date: 01/01/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
514 49TH ST FL 2
BROOKLYN NY
11220-2010
US
IV. Provider business mailing address
514 49TH ST FL 2
BROOKLYN NY
11220-2010
US
V. Phone/Fax
- Phone: 718-431-2625
- Fax:
- Phone: 718-431-2925
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: