Provider Demographics
NPI:1588942197
Name:TUMEN, LAURIE (LCSW)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:TUMEN
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 1:160 THEODORE FREMD AVE
Mailing Address - Street 2:APT. C7
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-2850
Mailing Address - Country:US
Mailing Address - Phone:914-393-7211
Mailing Address - Fax:
Practice Address - Street 1:160 THEODORE FREMD AVE
Practice Address - Street 2:APT. C7
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-2850
Practice Address - Country:US
Practice Address - Phone:914-393-7211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-31
Last Update Date:2011-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020059-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical