Provider Demographics
NPI:1487694907
Name:JEANNE G. HALPERN-LEWIS, LCSW. PC
Entity type:Organization
Organization Name:JEANNE G. HALPERN-LEWIS, LCSW. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:HALPERN-LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:631-265-4920
Mailing Address - Street 1:79 RIVER HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-1754
Mailing Address - Country:US
Mailing Address - Phone:631-265-4920
Mailing Address - Fax:631-265-4920
Practice Address - Street 1:79 RIVER HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-1754
Practice Address - Country:US
Practice Address - Phone:631-265-4920
Practice Address - Fax:631-265-4920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR047181-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2107149OtherCIGNA INSURANCE
NYNG3811OtherEMPIRE-MAGELLAN B HEALTH
NYP1999676OtherOXFORD INSURANCE
NY120779OtherVYTRA INSURANCE
NYR047181OtherHIP
NY315803OtherMHN INSURANCE
NY7352224OtherEMPIRE-VALUEOPTIONS
NY02261296Medicaid
NY141486OtherVALUEOPTIONS
NY7352224OtherGHI
NYR047181OtherHIP