Provider Demographics
NPI:1104840925
Name:STEINER, RONNIE L (LCSW-R, CASAC)
Entity Type:Individual
Prefix:MS
First Name:RONNIE
Middle Name:L
Last Name:STEINER
Suffix:
Gender:F
Credentials:LCSW-R, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 HALLOCK AVE
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11776-1214
Mailing Address - Country:US
Mailing Address - Phone:516-446-8368
Mailing Address - Fax:631-854-2550
Practice Address - Street 1:1050 HALLOCK AVE
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON STATION
Practice Address - State:NY
Practice Address - Zip Code:11776-1214
Practice Address - Country:US
Practice Address - Phone:516-446-8368
Practice Address - Fax:631-854-2550
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR-0433981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY189610POtherHIP PRISS#
NY7479850OtherGHI PROVIDER#
NYP2545010OtherOXFORD PROVDER#
NY140233OtherVALUEOPTIONS PROVIDER#
NYR-043398OtherSOCIAL WORK LICENSE #
NY11659OtherCASAC#
NY119981OtherVYTRA PROVIDER#
NYPO61139OtherUBH PROVIDER#
NYR-043398OtherHIP PROVIDER#
NYR-043398OtherSOCIAL WORK LICENSE #
NYNOT571Medicare ID - Type UnspecifiedMEDICARE PROVIDER#