Provider Demographics
NPI:1215376777
Name:TENEVA, RUMYANA I (LMSW)
Entity Type:Individual
Prefix:
First Name:RUMYANA
Middle Name:I
Last Name:TENEVA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ROUMIANA
Other - Middle Name:I
Other - Last Name:TENEVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:63 LISPENARD STREET
Mailing Address - Street 2:APT 3A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013
Mailing Address - Country:US
Mailing Address - Phone:248-885-4560
Mailing Address - Fax:
Practice Address - Street 1:130 WILLIAM ST APT 17A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-3857
Practice Address - Country:US
Practice Address - Phone:347-916-5303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010878851041C0700X
NY0847001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical