Provider Demographics
NPI:1033324272
Name:STENZLER, JOAN CAROLYN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:CAROLYN
Last Name:STENZLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8234 138TH ST
Mailing Address - Street 2:APT 5C
Mailing Address - City:BRIARWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11435-1482
Mailing Address - Country:US
Mailing Address - Phone:718-847-5379
Mailing Address - Fax:309-423-6294
Practice Address - Street 1:14437 68TH DR
Practice Address - Street 2:FIRST FL
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1737
Practice Address - Country:US
Practice Address - Phone:646-250-5379
Practice Address - Fax:309-423-6294
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR-037418-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY571068OtherVALUE OPTIONS
NY0117734OtherGHI