Active NPIIndividual providerSole proprietor

Alisa B Rosenbloom, LCSW

Social Worker, Clinical in Bergenfield, New Jersey

NPI Number1639653553
Practice location
137 Baker Ave, Bergenfield, NJ 07621-3357
Fax
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Last updated
August 5, 2024

Alisa Brooke Rosenbloom is a Social Worker, Clinical based in Bergenfield, NJ. Alisa Brooke Rosenbloom practices in Bergenfield, NJ and has the professional credentials of LCSW. The NPI Number for Alisa Brooke Rosenbloom is 1639653553 and holds a License No. 095474 (NY). The current practice location address for Alisa Brooke Rosenbloom is 137 Baker Ave, Bergenfield, NJ 07621-3357 and can be reached out via phone at 917-524-9684.

Provider Profile Details

NPI Number
1639653553
Provider Name
Alisa Brooke Rosenbloom
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
137 Baker Ave, Bergenfield, NJ 07621-3357
Phone Number
917-524-9684
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 17, 2018
Last Update Date
August 5, 2024
Certification Date
November 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
137 Baker Ave
Bergenfield, NJ 07621-3357
Zip
07621-3357
Phone Number
917-524-9684
Bergenfield, NJ 07621Get directions →

Provider Business Mailing Address Details

Address
801 Amsterdam Ave
New York, NY 10025-5752
City
New York
State
NY
Zip
10025-5752
Phone Number
212-316-8300

License Information

License Number
095474
License State
NY
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alisa B Rosenbloom, LCSW?

The NPI number of Alisa B Rosenbloom, LCSW is 1639653553. It was assigned on September 17, 2018 and is currently active in the NPPES registry.

What is the specialty of Alisa B Rosenbloom, LCSW?

Alisa B Rosenbloom, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 095474.

Where does Alisa B Rosenbloom, LCSW practice?

The practice location is 137 Baker Ave, Bergenfield, NJ 07621-3357. The office can be reached at 917-524-9684 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639653553 directly on the NPPES registry website.

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