Provider Demographics
NPI:1366926545
Name:TOSCANO, ROSE MARIE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ROSE
Middle Name:MARIE
Last Name:TOSCANO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:MARIE
Other - Last Name:BOLELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:777 SEAVIEW AVE BUILDING 18
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-3409
Mailing Address - Country:US
Mailing Address - Phone:718-667-2435
Mailing Address - Fax:718-667-2586
Practice Address - Street 1:710 FOREST AVENUE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-2520
Practice Address - Country:US
Practice Address - Phone:347-464-5550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-24
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07948209Medicaid