Provider Demographics
NPI:1285736389
Name:HALPERN, ROBIN SUZANNE (LCSW)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:SUZANNE
Last Name:HALPERN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 WEST END AVE
Mailing Address - Street 2:8L
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023
Mailing Address - Country:US
Mailing Address - Phone:212-721-4653
Mailing Address - Fax:212-721-4653
Practice Address - Street 1:180 W END AVE
Practice Address - Street 2:#8L
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4902
Practice Address - Country:US
Practice Address - Phone:212-721-4653
Practice Address - Fax:212-721-4653
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0281951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN56202Medicare ID - Type Unspecified
NYN56201Medicare ID - Type Unspecified