=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609888254
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RHB LCSW PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/12/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 180 WEST END AVE #8L
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10023
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-721-4653
-----------------------------------------------------
Fax | 212-721-4653
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 180 WEST END AVE #8L
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10023
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-721-4653
-----------------------------------------------------
Fax | 212-721-4653
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MS. ROBIN SUZANNE HALPERN
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 212-721-4653
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | R028195
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------