Provider Demographics
NPI:1588443840
Name:LUBOWITZ ROSENSTADT, JANE (LMSW)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:
Last Name:LUBOWITZ ROSENSTADT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 STUYVESANT AVE
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-3115
Mailing Address - Country:US
Mailing Address - Phone:646-334-4808
Mailing Address - Fax:
Practice Address - Street 1:220 STUYVESANT AVE
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-3115
Practice Address - Country:US
Practice Address - Phone:646-334-4808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-26
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY123969104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker