National Provider Identifier

Jenai Rossow, LCSW

Jenai Rossow, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 229-2529.

NPI 1447749221Ithaca, NYClinical Social Worker

Profile Overview

NPI
1447749221
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
May 07, 2018
Last Updated
November 03, 2020

Practice Location

  • 222 S Albany St
  • Ste 1
  • Ithaca, NY 14850-5480

Phone: (607) 229-2529

Mailing Address

  • 3 Brookside Dr
  • Dryden, NY 13053-9528

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1447749221
Entity Type
Individual
Last Name
Rossow
First Name
Jenai
Credential
LCSW
Provider Other Last Name
Downer
Provider Other First Name
Jenai
Provider Other Credential Text
LMSW
Provider Other Last Name Type Code
1
Mailing Street Address
3 Brookside Dr
Mailing City
Dryden
Mailing State
NY
Mailing ZIP Code
13053-9528
Mailing Country
US
Mailing Phone
(607) 229-2529
Practice Street Address
222 S Albany St
Practice Address Line 2
Ste 1
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5480
Practice Country
US
Practice Phone
(607) 229-2529
Enumeration Date
May 07, 2018
Last Updated
November 03, 2020
Sex
Female
Sole Proprietor
No
Certification Date
November 03, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)