Provider Demographics
NPI:1851491963
Name:ROSENBERG, DEBBY SUE (LCSW)
Entity type:Individual
Prefix:MS
First Name:DEBBY
Middle Name:SUE
Last Name:ROSENBERG
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 1:79 VALLEY VIEW RD
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-2523
Mailing Address - Country:US
Mailing Address - Phone:914-238-4090
Mailing Address - Fax:914-493-7939
Practice Address - Street 1:79 VALLEY VIEW RD
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-2523
Practice Address - Country:US
Practice Address - Phone:914-238-4090
Practice Address - Fax:914-493-7939
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPRO15798-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical