Provider Demographics
NPI:1467544056
Name:GREENFELD, DEBRA KAREN (LCSW)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:KAREN
Last Name:GREENFELD
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 1:55 SULLYS TRAIL
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534
Mailing Address - Country:US
Mailing Address - Phone:585-425-3700
Mailing Address - Fax:585-248-0734
Practice Address - Street 1:55 SULLYS TRL
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-3701
Practice Address - Country:US
Practice Address - Phone:585-425-3700
Practice Address - Fax:585-248-0734
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNYR028527104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11209BMedicare ID - Type Unspecified