MEDICARE: MISS VALERIE J ROSEN LCSW

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
1	1041C0700X	Clinical Social Worker	44SC05616500	NJ

General Provider Information

NPI Number	:	1710353057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS VALERIE J ROSEN LCSW

Provider Business Mailing Address
First Line	:	PO BOX 219
Second Line	:
City	:	SPOTSWOOD
State	:	NJ
Zip	:	08884-0219
Country	:	US
Telephone Number	:	908-380-8238
Fax Number	:	908-636-2581

Provider Business Practice Location Address
First Line	:	32 ANDERSON HILL RD
Second Line	:
City	:	BERNARDSVILLE
State	:	NJ
Zip	:	07924-2319
Country	:	US
Telephone Number	:	908-380-8238
Fax Number	:	908-636-2581

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2015
Last Update Date	:	08/02/2016

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