Individual
MR. HERBERT JAY ROSENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACSW, LCSW, BCD
Contact information
Practice address
350 S MAIN ST, CHESHIRE, CT 06410-3160
(203) 271-1234
(203) 272-9094
Mailing address
350 S MAIN ST (SUITE 23), ADOLESCENT & FAMILY COUNSELING CENTER, LLC, CHESHIRE, CT 06410-3160
(203) 271-1234
(203) 272-9094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000187
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134358
VO
CT
01
—
140000187CT01
BCBS
CT
01
—
4106619
AETNA
CT
Enumeration date
05/13/2006
Last updated
07/08/2007
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