Provider Demographics
NPI:1831298330
Name:BOBICK, ALLISON SUSAN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:SUSAN
Last Name:BOBICK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:LUEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:200 EAST 94TH ST
Mailing Address - Street 2:APT 904
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10128
Mailing Address - Country:US
Mailing Address - Phone:212-534-5825
Mailing Address - Fax:
Practice Address - Street 1:1651 THIRD AVENUE SUITE 201
Practice Address - Street 2:
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10128
Practice Address - Country:US
Practice Address - Phone:212-534-5825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0380411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN42051Medicare ID - Type Unspecified