Provider Demographics
NPI:1619841913
Name:PONEMAN, CLAIRE GILLIAN (LMSW)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:GILLIAN
Last Name:PONEMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 W 12TH ST APT 1G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8557
Mailing Address - Country:US
Mailing Address - Phone:917-410-1422
Mailing Address - Fax:
Practice Address - Street 1:15 W 12TH ST APT 1G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8557
Practice Address - Country:US
Practice Address - Phone:917-410-1422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT116061041C0700X
NJ44SL073596001041C0700X
NY1289221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical