Provider Demographics
NPI:1306442165
Name:CYMERMAN, VICTORIA ROSE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:ROSE
Last Name:CYMERMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:VICTORIA
Other - Middle Name:ROSE
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:260 WASHINGTON AVENUE EXT STE 101
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-6326
Mailing Address - Country:US
Mailing Address - Phone:518-218-1188
Mailing Address - Fax:
Practice Address - Street 1:260 WASHINGTON AVENUE EXT STE 101
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-6326
Practice Address - Country:US
Practice Address - Phone:518-218-1188
Practice Address - Fax:518-218-1988
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-08
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY110366104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker