Provider Demographics
NPI:1083889760
Name:FOLLANSBEE, RONALD E JR (LMSW)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:E
Last Name:FOLLANSBEE
Suffix:JR
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 BRIGHTON HENRIETTA TL RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-2792
Mailing Address - Country:US
Mailing Address - Phone:585-271-0661
Mailing Address - Fax:585-244-2871
Practice Address - Street 1:2060 BRIGHTON HENRIETTA TL RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-2792
Practice Address - Country:US
Practice Address - Phone:585-271-0661
Practice Address - Fax:585-244-2871
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073281104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker