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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JON MITCHEL ROSE, LCSW

Active Sole Proprietor

MR. JON MITCHEL ROSE, LCSW is a Clinical Social Worker healthcare provider located in PINE BUSH, New York. NPI 1669655494 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PINE BUSH, NY

Registration Details

NPI Number
1669655494
Provider Type
Individual
Gender
Male
NPI Issued
Dec 16, 2007 (18.649403325699 yrs)
Last Updated
Dec 16, 2007
License
RO44407-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
89 BONIFACE DR
PINE BUSH, NY, 125667011
Browse NY providers · Browse ZIP 12566
Phone
8457446974
Fax
8457446406
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in PINE BUSH, NY

Name Credential NPI
MS. PATRICIA HERLIHY LCSW-R 1669741591
RACHEL DAWN MASELLA 1134699648
MS. MARY HELEN CUZO LCSW-R 1609439058
ZORYN LAZARUS-THEODORE LCSW 1326879123
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.