Provider Demographics
NPI:1083196257
Name:KRANTZ, VERONICA PAIGE (LCSW)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:PAIGE
Last Name:KRANTZ
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 1:307 E 44TH ST APT A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-4404
Mailing Address - Country:US
Mailing Address - Phone:561-843-4800
Mailing Address - Fax:212-586-1271
Practice Address - Street 1:307 E 44TH ST APT A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-4404
Practice Address - Country:US
Practice Address - Phone:561-843-4800
Practice Address - Fax:212-586-1271
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-04
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY097421104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty