Provider Demographics
NPI:1831267137
Name:GREENBERG, RIMA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:RIMA
Middle Name:
Last Name:GREENBERG
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 1:35 GROVE ST
Mailing Address - Street 2:APT 6J
Mailing Address - City:NYC
Mailing Address - State:NY
Mailing Address - Zip Code:10014
Mailing Address - Country:US
Mailing Address - Phone:212-581-8577
Mailing Address - Fax:212-243-5909
Practice Address - Street 1:211 WEST 56TH ST
Practice Address - Street 2:APT 21H
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-581-8577
Practice Address - Fax:212-243-5909
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP019339R1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN02521Medicare ID - Type Unspecified