Provider Demographics
NPI:1093462756
Name:BEER, RONI B (LCSW)
Entity Type:Individual
Prefix:
First Name:RONI
Middle Name:B
Last Name:BEER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14040 SANFORD AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2556
Mailing Address - Country:US
Mailing Address - Phone:718-353-1400
Mailing Address - Fax:718-475-1543
Practice Address - Street 1:14040 SANFORD AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2556
Practice Address - Country:US
Practice Address - Phone:718-353-1400
Practice Address - Fax:718-475-1543
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049351104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker