Provider Demographics
NPI:1922326313
Name:SHEFF-RADOMISLI, ROBIN A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:A
Last Name:SHEFF-RADOMISLI
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 1:300 E 85TH STREET
Mailing Address - Street 2:APT. 3603
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 E 85TH ST
Practice Address - Street 2:APT. 3603
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-4500
Practice Address - Country:US
Practice Address - Phone:212-772-1444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR050301-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker