Provider Demographics
NPI:1104814565
Name:ROSENTHAL, EMILY S (LCSW)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:S
Last Name:ROSENTHAL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1570 MADRUGA AVE
Mailing Address - Street 2:PH5
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3040
Mailing Address - Country:US
Mailing Address - Phone:305-662-9805
Mailing Address - Fax:
Practice Address - Street 1:1570 MADRUGA AVE
Practice Address - Street 2:PH5
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3040
Practice Address - Country:US
Practice Address - Phone:305-662-9805
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW00015511041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist