Provider Demographics
NPI:1982322319
Name:BALDINO, ROBERT C (LCSW)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:C
Last Name:BALDINO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 VERNON DR
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-6124
Mailing Address - Country:US
Mailing Address - Phone:914-224-3536
Mailing Address - Fax:
Practice Address - Street 1:64 VERNON DR
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-6124
Practice Address - Country:US
Practice Address - Phone:914-224-3536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR040839-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical