Provider Demographics
NPI:1114094240
Name:SPERANSKY, HELEN (LCSW-R)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:SPERANSKY
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:SPERANSKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:212 W 71 STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023
Mailing Address - Country:US
Mailing Address - Phone:212-362-6820
Mailing Address - Fax:212-362-6821
Practice Address - Street 1:212 W 71ST ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-3725
Practice Address - Country:US
Practice Address - Phone:212-362-6820
Practice Address - Fax:212-362-6821
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0510811104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN9G531Medicare UPIN