Provider Demographics
NPI:1669652905
Name:LABINER, JOANNE F (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:F
Last Name:LABINER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:722 BROADWAY
Mailing Address - Street 2:8TH FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-0900
Mailing Address - Country:US
Mailing Address - Phone:212-777-3632
Mailing Address - Fax:212-529-3367
Practice Address - Street 1:722 BROADWAY
Practice Address - Street 2:8TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-0900
Practice Address - Country:US
Practice Address - Phone:212-777-3632
Practice Address - Fax:212-529-3367
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-03
Last Update Date:2007-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR028436-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN25601Medicare UPIN