Provider Demographics
NPI:1306270582
Name:ASNES, BONNIE HOPE (LCSW)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:HOPE
Last Name:ASNES
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 1:167 E 82ND ST
Mailing Address - Street 2:1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-1888
Mailing Address - Country:US
Mailing Address - Phone:212-988-2830
Mailing Address - Fax:
Practice Address - Street 1:167 E 82ND ST
Practice Address - Street 2:1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-1888
Practice Address - Country:US
Practice Address - Phone:212-988-2830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-24
Last Update Date:2013-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPRO22175-2102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst