Provider Demographics
NPI:1720386980
Name:RAPPS-GUTMAN, CYRELLE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CYRELLE
Middle Name:
Last Name:RAPPS-GUTMAN
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 1:920 E 17TH ST
Mailing Address - Street 2:APT. 303
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-3751
Mailing Address - Country:US
Mailing Address - Phone:646-812-4744
Mailing Address - Fax:
Practice Address - Street 1:920 E 17TH ST
Practice Address - Street 2:APT. 303
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-3751
Practice Address - Country:US
Practice Address - Phone:646-812-4744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-11
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0738731041C0700X
NY1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool