Provider Demographics
NPI:1326416009
Name:HALPERIN, REBECCA JULIET (LCSW)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:JULIET
Last Name:HALPERIN
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 1:165 WYKAGYL TER
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-3124
Mailing Address - Country:US
Mailing Address - Phone:212-203-9560
Mailing Address - Fax:
Practice Address - Street 1:165 WYKAGYL TER
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-3124
Practice Address - Country:US
Practice Address - Phone:212-203-9560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-11
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY081630-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical