1881655009 NPI number — MS. FLORENCE W ROSENSTOCK MSW LICSW

Table of content: MS. FLORENCE W ROSENSTOCK MSW LICSW (NPI 1881655009)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881655009 NPI number — MS. FLORENCE W ROSENSTOCK MSW LICSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROSENSTOCK
Provider First Name:
FLORENCE
Provider Middle Name:
W
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSW LICSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881655009
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 296
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AMHERST
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01004-0296
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-256-1840
Provider Business Mailing Address Fax Number:
413-253-5306

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
664 MAIN STREET
Provider Second Line Business Practice Location Address:
SUITE 58
Provider Business Practice Location Address City Name:
AMHERST
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01002-2439
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-256-1840
Provider Business Practice Location Address Fax Number:
413-253-5306
Provider Enumeration Date:
03/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  1029563 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1031790 . This is a "FALLON BEACON HEALTH STRA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1053485 . This is a "CIGNA BEHAVIORAL HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6293509 . This is a "CONNECTICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: P07744 . This is a "BCBS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 2656305 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".




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