Provider Demographics
NPI:1447666516
Name:RINDE-OBERFERST, STEFANI (LCSW, MS)
Entity type:Individual
Prefix:
First Name:STEFANI
Middle Name:
Last Name:RINDE-OBERFERST
Suffix:
Gender:F
Credentials:LCSW, MS
Other - Prefix:MS
Other - First Name:STEFANI
Other - Middle Name:
Other - Last Name:RINDE-OBERFERST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1500 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-5104
Mailing Address - Country:US
Mailing Address - Phone:315-735-9501
Mailing Address - Fax:
Practice Address - Street 1:1500 GENESEE ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-5104
Practice Address - Country:US
Practice Address - Phone:315-735-9501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY079482-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical