Susan Birenbaum, LCSW
Social Worker, Clinical in Hewlett, NY. Individual provider (NPI-1).
NPI number1992845796
StatusActive
Last updated in NPPESSep 26, 2012
Details
- NPI
- 1992845796
- Entity type
- Individual (NPI-1)
- Name
- Susan Birenbaum
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2007
- Last updated
- Sep 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | R038015-1 | NY | Yes |
Practice location
1234 W BroadwayHewlett, NY 11557-1929
Phone 516-637-9650
Mailing address
362 E Penn StLong Beach, NY 11561-4332
Phone 516-432-0730
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