Provider Demographics
NPI:1437570520
Name:BIKALES, ROSEMARIE (LMSW)
Entity type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:
Last Name:BIKALES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 CUSHING AVE
Mailing Address - Street 2:
Mailing Address - City:WILLISTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11596-1633
Mailing Address - Country:US
Mailing Address - Phone:516-741-8609
Mailing Address - Fax:
Practice Address - Street 1:47 CUSHING AVE
Practice Address - Street 2:
Practice Address - City:WILLISTON PARK
Practice Address - State:NY
Practice Address - Zip Code:11596-1633
Practice Address - Country:US
Practice Address - Phone:516-741-8609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-17
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034214-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker