1104840925 NPI number — MS. RONNIE L. STEINER LCSW-R, CASAC

Table of content: MS. RONNIE L. STEINER LCSW-R, CASAC (NPI 1104840925)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104840925 NPI number — MS. RONNIE L. STEINER LCSW-R, CASAC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEINER
Provider First Name:
RONNIE
Provider Middle Name:
L.
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW-R, CASAC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104840925
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1050 HALLOCK AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORT JEFFERSON STATION
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11776-1214
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-446-8368
Provider Business Mailing Address Fax Number:
631-854-2550

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1050 HALLOCK AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PORT JEFFERSON STATION
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11776-1214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-446-8368
Provider Business Practice Location Address Fax Number:
631-854-2550
Provider Enumeration Date:
07/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  R-043398 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 189610P . This is a "HIP PRISS#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 7479850 . This is a "GHI PROVIDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P2545010 . This is a "OXFORD PROVDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 140233 . This is a "VALUEOPTIONS PROVIDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: R-043398 . This is a "SOCIAL WORK LICENSE #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 11659 . This is a "CASAC#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 119981 . This is a "VYTRA PROVIDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: PO61139 . This is a "UBH PROVIDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: R-043398 . This is a "HIP PROVIDER#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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