Provider Demographics
NPI:1083776355
Name:STEINMAN, BETTY SUSAN (MS LCSW)
Entity Type:Individual
Prefix:MS
First Name:BETTY
Middle Name:SUSAN
Last Name:STEINMAN
Suffix:
Gender:F
Credentials:MS LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6715 102ND ST APT 5K
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2415
Mailing Address - Country:US
Mailing Address - Phone:718-683-1372
Mailing Address - Fax:
Practice Address - Street 1:6715 102ND ST APT 5K
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-2415
Practice Address - Country:US
Practice Address - Phone:718-683-1372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2023-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0391501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY057181180Medicare ID - Type Unspecified