Provider Demographics
NPI:1982935201
Name:FROEHLICH, CELESTE H (LCSW)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:H
Last Name:FROEHLICH
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 1:306 ELM ST
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-3019
Mailing Address - Country:US
Mailing Address - Phone:607-218-2922
Mailing Address - Fax:
Practice Address - Street 1:215 N GENEVA ST
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-4166
Practice Address - Country:US
Practice Address - Phone:607-218-2922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-26
Last Update Date:2013-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker