Healthcare Provider Details

I. General information

NPI: 1649902115
Provider Name (Legal Business Name): ZENA ROCKOWITZ LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ZENA MICHELLE ROCKOWITZ LMSW

II. Dates (important events)

Enumeration Date: 06/24/2022
Last Update Date: 06/24/2022
Certification Date: 06/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

649 PROSPECT PL APT 3A
BROOKLYN NY
11216-3598
US

IV. Provider business mailing address

649 PROSPECT PL APT 3A
BROOKLYN NY
11216-3598
US

V. Phone/Fax

Practice location:
  • Phone: 305-586-7322
  • Fax:
Mailing address:
  • Phone: 305-586-7322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11628101
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: