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NPI Code Detail

MEDICARE: ROSEMARY PSYCHOTHERAPY LCSW PLLC

MEDICARE: ROSEMARY PSYCHOTHERAPY LCSW PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1083542831
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSEMARY PSYCHOTHERAPY LCSW PLLC
Provider Business Mailing Address
First Line : 1025 SENECA AVE
Second Line :
City : RIDGEWOOD
State : NY
Zip : 11385-5800
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1025 SENECA AVE
Second Line :
City : RIDGEWOOD
State : NY
Zip : 11385-5800
Country : US
Telephone Number : 347-916-4597
Fax Number :
Authorized Official
Title or Position : MEMBER-MANAGER
Name : JESSICA LAHOOD
Credential : LCSW
Telephone Number : 347-843-1149
Provider Enumeration Date : 05/12/2026
Last Update Date : 05/12/2026

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Directions to “ROSEMARY PSYCHOTHERAPY LCSW PLLC ” Practice Location

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