Provider Demographics
NPI:1619204542
Name:RITT, BONNIE (LCSW)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:
Last Name:RITT
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 1:1 WALL STREET CT
Mailing Address - Street 2:SUITE 1401
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-3302
Mailing Address - Country:US
Mailing Address - Phone:561-371-3949
Mailing Address - Fax:561-967-7814
Practice Address - Street 1:1 WALL STREET CT
Practice Address - Street 2:SUITE 1401
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-3302
Practice Address - Country:US
Practice Address - Phone:561-371-3949
Practice Address - Fax:561-967-7814
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-13
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0488431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical