Provider Demographics
NPI:1033698436
Name:FRENCH, ROBERT S (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:S
Last Name:FRENCH
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 N FRANKFURT AVE
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08215-3613
Mailing Address - Country:US
Mailing Address - Phone:646-823-5991
Mailing Address - Fax:
Practice Address - Street 1:225 BROADWAY STE 3400
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-3054
Practice Address - Country:US
Practice Address - Phone:646-823-5991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-07
Last Update Date:2022-05-03
Deactivation Date:2022-03-02
Deactivation Code:
Reactivation Date:2022-03-16
Provider Licenses
StateLicense IDTaxonomies
NY102895-1104100000X
NY092618-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker