Provider Demographics
NPI:1407058589
Name:CARMAN, REBECCA W (LCSW)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:W
Last Name:CARMAN
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 1:163 W 10TH ST APT 5FE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-3182
Mailing Address - Country:US
Mailing Address - Phone:212-924-0423
Mailing Address - Fax:
Practice Address - Street 1:INSTITUTE FOR CONTEMPORARY PSYCHOTHERAPY
Practice Address - Street 2:1841 BROADWAY, 4RTH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:917-751-8803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP-0595411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical