Provider Demographics
NPI:1336129592
Name:CROHN, HELEN M (DSW, MSS,LCSW)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:M
Last Name:CROHN
Suffix:
Gender:F
Credentials:DSW, MSS,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 FULTON ST
Mailing Address - Street 2:#720
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-2594
Mailing Address - Country:US
Mailing Address - Phone:212-586-4910
Mailing Address - Fax:
Practice Address - Street 1:139 FULTON ST
Practice Address - Street 2:#720
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-2594
Practice Address - Country:US
Practice Address - Phone:212-586-4910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-21
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLCSW0182241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR018224OtherLCSW