Provider Demographics
NPI:1922401660
Name:RIKOON, NANCY R (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:R
Last Name:RIKOON
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 1:160 WESTCHESTER AVE.
Mailing Address - Street 2:B-V ELEMENTARY SCHOOL
Mailing Address - City:BUCHANAN
Mailing Address - State:NY
Mailing Address - Zip Code:10511
Mailing Address - Country:US
Mailing Address - Phone:914-257-5463
Mailing Address - Fax:914-257-5401
Practice Address - Street 1:160 WESTCHESTER AVE.
Practice Address - Street 2:B-V ELEMENTARY SCHOOL
Practice Address - City:BUCHANAN
Practice Address - State:NY
Practice Address - Zip Code:10511
Practice Address - Country:US
Practice Address - Phone:914-257-5463
Practice Address - Fax:914-257-5401
Is Sole Proprietor?:No
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR015809-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker