Provider Demographics
NPI:1831480516
Name:CARMEN, REENA (LCSW)
Entity Type:Individual
Prefix:
First Name:REENA
Middle Name:
Last Name:CARMEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:REENA
Other - Middle Name:
Other - Last Name:GELBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:32-72 STEINWAY STREET
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103
Mailing Address - Country:US
Mailing Address - Phone:718-204-9720
Mailing Address - Fax:212-423-6880
Practice Address - Street 1:32-72 STEINWAY STREET
Practice Address - Street 2:5TH FLOOR
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103
Practice Address - Country:US
Practice Address - Phone:718-204-9720
Practice Address - Fax:212-423-6880
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY076133104100000X
NY0814141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker