Provider Demographics
NPI:1215141692
Name:GREENSPAN, BETSEY (LCSW)
Entity type:Individual
Prefix:
First Name:BETSEY
Middle Name:
Last Name:GREENSPAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BETSEY
Other - Middle Name:
Other - Last Name:ARONSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 31092
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06150-1092
Mailing Address - Country:US
Mailing Address - Phone:518-952-8140
Mailing Address - Fax:518-952-8287
Practice Address - Street 1:845 FOX MEADOW RD
Practice Address - Street 2:BUILDING 5, FIRST FLOOR
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-2903
Practice Address - Country:US
Practice Address - Phone:914-248-3652
Practice Address - Fax:914-248-3659
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0701151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01420795Medicaid
NY01420795Medicaid