Doctor Name: | MS. FREDDA J ROTHMAN |
NPI Number: | 1205991536 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC04765900 |
Business Practice Address: | 3186 Rt. 27 Suite 201 Kendall Park, NJ - 08824 |
Business Phone Number: | 7329402903 |
Business Fax Number: | 2014898172 |
Mailing Address: | 56 Crooked Stick Rd, JACKSON |
State: | NJ |
Postal Code: | 085274035 |
Phone Number: | 7328332082 |
Fax Number: | 2014898172 |
NPI Enumeration Date: | 12/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC04765900 |
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 |