Provider Demographics
NPI:1992087449
Name:SIMON, ANNROSE (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANNROSE
Middle Name:
Last Name:SIMON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:ANNROSE
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 BRAMBACH AVE
Mailing Address - Street 2:SUITE 2 EAST
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5236
Mailing Address - Country:US
Mailing Address - Phone:914-723-0197
Mailing Address - Fax:914-478-1360
Practice Address - Street 1:103 E 86TH ST
Practice Address - Street 2:SUITE 5B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-1058
Practice Address - Country:US
Practice Address - Phone:212-426-8012
Practice Address - Fax:914-478-1360
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-11
Last Update Date:2011-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR018657-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical