Provider Demographics
NPI:1669544664
Name:HALPERN-LEWIS, JEANNE G (LCSW)
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:G
Last Name:HALPERN-LEWIS
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 1:79 RIVER HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-1754
Mailing Address - Country:US
Mailing Address - Phone:631-265-4920
Mailing Address - Fax:631-265-4920
Practice Address - Street 1:79 RIVER HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-1754
Practice Address - Country:US
Practice Address - Phone:631-265-4920
Practice Address - Fax:631-265-4920
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR047181-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7352224OtherGHI
NYP1999676OtherOXFORD INSURANCE
NYR047181OtherHIP
NY02261296Medicaid
NY141486OtherVALUEOPTIONS
NY120779OtherVYTRA INSURANCE
NY2107149OtherCIGNA INSURANCE
NY315803OtherMHN INSURANCE
NY7352224OtherEMPIRE-VALUEOPTIONS
NYNG3811OtherEMPIRE-MAGELLAN B HEALTH
NY141486OtherVALUEOPTIONS