Provider Demographics
NPI:1790055440
Name:KALAI, RUTHIE (LCSW)
Entity Type:Individual
Prefix:
First Name:RUTHIE
Middle Name:
Last Name:KALAI
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 COOPER ST
Mailing Address - Street 2:#5G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-3044
Mailing Address - Country:US
Mailing Address - Phone:917-848-9943
Mailing Address - Fax:
Practice Address - Street 1:55 COOPER ST
Practice Address - Street 2:#5G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-3044
Practice Address - Country:US
Practice Address - Phone:917-848-9943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0778451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical