Provider Demographics
NPI:1972717866
Name:RAPPAPORT, HARRIET COHEN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:HARRIET
Middle Name:COHEN
Last Name:RAPPAPORT
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 1:330 E 79TH ST
Mailing Address - Street 2:APT. 5B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-0966
Mailing Address - Country:US
Mailing Address - Phone:212-249-1520
Mailing Address - Fax:
Practice Address - Street 1:330 E 79TH ST
Practice Address - Street 2:APT. 5B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0966
Practice Address - Country:US
Practice Address - Phone:212-249-1520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO51362-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN6463Medicare ID - Type UnspecifiedEMPIRE BLUECROSS BLUESHIE