Provider Demographics
NPI:1023220290
Name:LIEBERMAN, AARON (DSW, LCSW, LMHC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:LIEBERMAN
Suffix:
Gender:M
Credentials:DSW, LCSW, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 MANOR HOUSE LN
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-2514
Mailing Address - Country:US
Mailing Address - Phone:718-440-5040
Mailing Address - Fax:
Practice Address - Street 1:114 AVENUE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5507
Practice Address - Country:US
Practice Address - Phone:718-440-5040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1041S0200X
NY002388-1101YM0800X
NYP022115-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical