Provider Demographics
NPI:1043383953
Name:STRASSMAN, LILYAN R (LCSW)
Entity Type:Individual
Prefix:
First Name:LILYAN
Middle Name:R
Last Name:STRASSMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LEE
Other - Middle Name:R
Other - Last Name:STRASSMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1025 NORTHERN BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11376
Mailing Address - Country:US
Mailing Address - Phone:516-944-4414
Mailing Address - Fax:516-627-2185
Practice Address - Street 1:1025 NORTHERN BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:ROSLYN
Practice Address - State:NY
Practice Address - Zip Code:11376
Practice Address - Country:US
Practice Address - Phone:516-457-4701
Practice Address - Fax:516-627-2185
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0632391041C0700X
CALCS0121011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
3074356OtherOXFORD
8614573OtherCIGNA