Provider Demographics
NPI:1760582332
Name:FEINSTEIN, ROSALIND (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ROSALIND
Middle Name:
Last Name:FEINSTEIN
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 1:206 HANSHAW RD
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-2210
Mailing Address - Country:US
Mailing Address - Phone:607-273-0064
Mailing Address - Fax:607-330-4527
Practice Address - Street 1:206 HANSHAW RD
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-2210
Practice Address - Country:US
Practice Address - Phone:607-273-0064
Practice Address - Fax:607-330-4527
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013359-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY013359-1OtherLICENSED CLINICAL SOCIAL
OOOO21990OtherEXCELLUS BLUE
NY013359-1OtherLICENSED CLINICAL SOCIAL