Provider Demographics
NPI:1174694418
Name:SARACIONE, ROSEMARIE B (LCSWR)
Entity type:Individual
Prefix:MS
First Name:ROSEMARIE
Middle Name:B
Last Name:SARACIONE
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:MS
Other - First Name:ROSEMARIE
Other - Middle Name:B
Other - Last Name:PERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSWR
Mailing Address - Street 1:200 WOODCREST LN APT 201
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3052
Mailing Address - Country:US
Mailing Address - Phone:914-242-3595
Mailing Address - Fax:
Practice Address - Street 1:153 E MAIN ST
Practice Address - Street 2:SUITE H4
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-2317
Practice Address - Country:US
Practice Address - Phone:914-242-3595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0335921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical