MEDICARE: ROSEMARY BRESLIN LCSW, CASAC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	966	NY
2	1041C0700X	Clinical Social Worker	025912-1R	NY

General Provider Information

NPI Number	:	1770798076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEMARY BRESLIN LCSW, CASAC

Provider Business Mailing Address
First Line	:	162 PETER AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-4225
Country	:	US
Telephone Number	:	718-351-0828
Fax Number	:

Provider Business Practice Location Address
First Line	:	2336 RICHMOND RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-2346
Country	:	US
Telephone Number	:	718-351-0828
Fax Number	:

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

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	09/11/2025

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