Provider Demographics
NPI:1891970299
Name:RICE, CAROLYN (LCSW)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:RICE
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 1:129 W 72ND ST
Mailing Address - Street 2:2R
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3239
Mailing Address - Country:US
Mailing Address - Phone:212-874-6553
Mailing Address - Fax:
Practice Address - Street 1:129 W 72ND ST
Practice Address - Street 2:2R
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-3239
Practice Address - Country:US
Practice Address - Phone:212-874-6553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR032239-1101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional