National Provider Identifier
Jean Hudson Teitelbaum, LCSW-R
Jean Hudson Teitelbaum, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 379-4191.
Profile Overview
- NPI
- 1407066178
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- May 23, 2007
- Last Updated
- April 01, 2015
Practice Location
- 103 W Seneca St Ste 303A
- Ithaca, NY 14850-4145
Phone: (607) 379-4191
Mailing Address
- 212 Monroe St
- Ithaca, NY 14850-3444
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1407066178
- Entity Type
- Individual
- Last Name
- Teitelbaum
- First Name
- Jean
- Middle Name
- Hudson
- Name Prefix
- MS.
- Credential
- LCSW-R
- Mailing Street Address
- 212 Monroe St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3444
- Mailing Country
- US
- Mailing Phone
- (607) 379-4191
- Mailing Fax
- (607) 272-9454
- Practice Street Address
- 103 W Seneca St Ste 303A
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4145
- Practice Country
- US
- Practice Phone
- (607) 379-4191
- Practice Fax
- (607) 272-9454
- Enumeration Date
- May 23, 2007
- Last Updated
- April 01, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)