Provider Demographics
NPI:1073686457
Name:DEUTSCH, NANCY R (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:R
Last Name:DEUTSCH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 E OLD COUNTRY RD FL 2
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4612
Mailing Address - Country:US
Mailing Address - Phone:516-627-2446
Mailing Address - Fax:
Practice Address - Street 1:80 E OLD COUNTRY RD FL 2
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4612
Practice Address - Country:US
Practice Address - Phone:516-637-2446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0354451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical