Individual
MRS. DIANE CAROL ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW MSW
Contact information
Practice address
333 UNION ST, NEW BEDFORD, MA 02740
(508) 990-0852
(508) 990-4447
Mailing address
78 CEDAR ST, MIDDLEBORO, MA 02346
(508) 947-4969
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1016224
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
345924
TRICARE MHN
—
01
—
497362
VALUE OPTIONS
—
01
—
53725600
MAGELLAN
—
01
—
5668187
AETNA
—
01
—
87726
UNITED BEHAVIORAL HEALTHC
—
01
—
PO4745
BLUE CROSS
MA
Enumeration date
04/12/2006
Last updated
06/01/2016
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