Provider Demographics
NPI:1932312915
Name:CALMENSON, ELLEN SUE (LCSW-R)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:SUE
Last Name:CALMENSON
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 W END AVE
Mailing Address - Street 2:8C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5371
Mailing Address - Country:US
Mailing Address - Phone:212-866-9240
Mailing Address - Fax:
Practice Address - Street 1:910-924 NINTH AVE
Practice Address - Street 2:SUITE 127
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-523-7700
Practice Address - Fax:212-523-7000
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0123781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical