Provider Demographics
NPI:1194987958
Name:SANCHEZ-MORALEZ, ROSEMARY (LCSW)
Entity type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:
Last Name:SANCHEZ-MORALEZ
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 1:198 HADDON HOLLOW CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLE ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:11953-1615
Mailing Address - Country:US
Mailing Address - Phone:516-317-7175
Mailing Address - Fax:631-345-5275
Practice Address - Street 1:606 MIDDLE COUNTRY RD
Practice Address - Street 2:
Practice Address - City:MIDDLE ISLAND
Practice Address - State:NY
Practice Address - Zip Code:11953-2556
Practice Address - Country:US
Practice Address - Phone:516-317-7175
Practice Address - Fax:631-345-5275
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2019-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0878851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical