Provider Demographics
NPI:1982775086
Name:STEIN, JUDITH ARLENE (PHD, LMSW)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:ARLENE
Last Name:STEIN
Suffix:
Gender:F
Credentials:PHD, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 E 12TH ST RM 505
Mailing Address - Street 2:NEW YORK
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4560
Mailing Address - Country:US
Mailing Address - Phone:212-222-6300
Mailing Address - Fax:
Practice Address - Street 1:24 E 12TH ST RM 505
Practice Address - Street 2:NEW YORK
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4560
Practice Address - Country:US
Practice Address - Phone:212-222-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0735131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical