Provider Demographics
NPI:1679883227
Name:ABRAMSON, REBECCA DIANE (PROF DIPLOMA ,LCSW)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:DIANE
Last Name:ABRAMSON
Suffix:
Gender:F
Credentials:PROF DIPLOMA ,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W 94TH ST
Mailing Address - Street 2:#15B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-7041
Mailing Address - Country:US
Mailing Address - Phone:212-288-1337
Mailing Address - Fax:212-288-2383
Practice Address - Street 1:100 WEST 94 STREET
Practice Address - Street 2:#15B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-7012
Practice Address - Country:US
Practice Address - Phone:212-288-1337
Practice Address - Fax:212-288-2383
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103TS0200X
NYRO28884-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool