Provider Demographics
NPI:1861793325
Name:STARKMAN RESNICK, ADRIENNE JO (LCSW)
Entity type:Individual
Prefix:MS
First Name:ADRIENNE
Middle Name:JO
Last Name:STARKMAN RESNICK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ADRIENNE
Other - Middle Name:JO
Other - Last Name:STARKMAN RESNICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2 BREWSTER TER
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-3603
Mailing Address - Country:US
Mailing Address - Phone:914-633-3389
Mailing Address - Fax:914-576-5899
Practice Address - Street 1:239 N BROADWAY
Practice Address - Street 2:SUITE 6
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-2674
Practice Address - Country:US
Practice Address - Phone:914-633-3389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-15
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR027176-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical