| Doctor Name: | MRS. JACQUELINE M ROSKIE |
| NPI Number: | 1174502363 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 44SC05155000 |
| Business Practice Address: | 59 East Mill Road Bldg 2 Suite 2 - 202 Long Valley, NJ - 07853 |
| Business Phone Number: | 9082273681 |
| Business Fax Number: | 9088764980 |
| Mailing Address: | Po Box 672, LONG VALLEY |
| State: | NJ |
| Postal Code: | 078530672 |
| Phone Number: | 9082273681 |
| Fax Number: | 9088764980 |
| NPI Enumeration Date: | 01/16/2006 |
| NPI Last Update Date: | 09/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC05155000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |