Provider Demographics
NPI:1548473382
Name:DONNENFELD, ROBIN SUE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:SUE
Last Name:DONNENFELD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ROBIN
Other - Middle Name:SUE
Other - Last Name:RUFFNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:150 E 58TH ST
Mailing Address - Street 2:25TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10155-0002
Mailing Address - Country:US
Mailing Address - Phone:212-223-2095
Mailing Address - Fax:
Practice Address - Street 1:150 E 58TH ST
Practice Address - Street 2:25TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10155-0002
Practice Address - Country:US
Practice Address - Phone:212-223-2095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR-0533911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNC0971Medicare ID - Type UnspecifiedEMPIRE MEDICARE PROVIDER