Provider Demographics
NPI:1902974223
Name:STEINMANN, LILLIAN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LILLIAN
Middle Name:
Last Name:STEINMANN
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 1:5900 NORTH BURDICK ST
Mailing Address - Street 2:STE 109 MEDICAL CENTER EAST
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057
Mailing Address - Country:US
Mailing Address - Phone:315-656-7189
Mailing Address - Fax:315-656-7031
Practice Address - Street 1:5900 NORTH BURDICK ST
Practice Address - Street 2:STE 109
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057
Practice Address - Country:US
Practice Address - Phone:315-656-7189
Practice Address - Fax:315-656-7031
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR03373911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY550498Medicare ID - Type Unspecified