Provider Demographics
NPI:1144888595
Name:ROONEY, LUCY SWANK
Entity type:Individual
Prefix:MISS
First Name:LUCY
Middle Name:SWANK
Last Name:ROONEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BOULDER BRAE LN
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-1106
Mailing Address - Country:US
Mailing Address - Phone:914-582-3553
Mailing Address - Fax:
Practice Address - Street 1:4 BOULDER BRAE LN
Practice Address - Street 2:
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-1106
Practice Address - Country:US
Practice Address - Phone:914-582-3553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-31
Last Update Date:2025-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA774631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical