Provider Demographics
NPI:1437224722
Name:FISHMAN, HELENE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:HELENE
Middle Name:
Last Name:FISHMAN
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 1:6 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-2913
Mailing Address - Country:US
Mailing Address - Phone:845-623-7782
Mailing Address - Fax:845-623-0648
Practice Address - Street 1:6 SMITH ST
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2913
Practice Address - Country:US
Practice Address - Phone:845-623-7782
Practice Address - Fax:845-623-0648
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0261771104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
5368722OtherAETNA
242674OtherMHN
11157362OtherMULTI PLAN
6010304OtherGHI
NY01549224Medicaid
143252000OtherMAGELLAN
244189OtherVALUE OPTION
294335OtherIP
HMOOther2612288
RK0000304OtherSELECT PRO
040426032641OtherFIDELIS
6274283OtherUBH
9280542OtherCIGNA
1018720OtherBEACON HILL
PUPB82344OtherAM PSY SYS
6280271OtherUNITED HEALTH
HMOOther2612288
143252000OtherMAGELLAN
244189OtherVALUE OPTION
96510BMedicare UPIN