Provider Demographics
NPI:1639401276
Name:SEGAL PARSON, RHEA L (LCSW)
Entity Type:Individual
Prefix:
First Name:RHEA
Middle Name:L
Last Name:SEGAL PARSON
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 1:5608 RIVERDALE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-2106
Mailing Address - Country:US
Mailing Address - Phone:646-271-2723
Mailing Address - Fax:718-796-5828
Practice Address - Street 1:5608 RIVERDALE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-2106
Practice Address - Country:US
Practice Address - Phone:646-271-2723
Practice Address - Fax:718-796-5828
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP013753-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical