Provider Demographics
NPI:1952469421
Name:ANISFELD, HELENE INA (MSW)
Entity Type:Individual
Prefix:MS
First Name:HELENE
Middle Name:INA
Last Name:ANISFELD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:H
Other - Middle Name:INA
Other - Last Name:ANISFELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:201 E 21ST ST
Mailing Address - Street 2:APT 5N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6408
Mailing Address - Country:US
Mailing Address - Phone:212-260-9116
Mailing Address - Fax:212-673-3895
Practice Address - Street 1:347 5TH AVE
Practice Address - Street 2:SUITE 1400
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5010
Practice Address - Country:US
Practice Address - Phone:212-673-3895
Practice Address - Fax:212-673-3895
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0175521104100000X
NJSC07487104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
7342100OtherAETNA
P391714OtherOXFORD
1199OtherTIN
NYN13141Medicare UPIN