Provider Demographics
NPI:1386191229
Name:RUTSTEIN, LYNNE (CSW)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:
Last Name:RUTSTEIN
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 6TH AVE APT 3B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-1204
Mailing Address - Country:US
Mailing Address - Phone:646-577-2226
Mailing Address - Fax:
Practice Address - Street 1:202 6TH AVE APT 3B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-1204
Practice Address - Country:US
Practice Address - Phone:646-577-2226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY06805611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical