Provider Demographics
NPI:1043482409
Name:LEPREE, MYRNA (LMSW)
Entity Type:Individual
Prefix:
First Name:MYRNA
Middle Name:
Last Name:LEPREE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:MYRNA
Other - Middle Name:
Other - Last Name:THERNIAK MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:615 E 14TH ST APT 5E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-3214
Mailing Address - Country:US
Mailing Address - Phone:212-777-3728
Mailing Address - Fax:
Practice Address - Street 1:615 E 14TH ST APT 5E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-3214
Practice Address - Country:US
Practice Address - Phone:212-777-3728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-26
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053914104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker