Provider Demographics
NPI:1093921769
Name:LERNER, DANA MARGOT (CSW)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:MARGOT
Last Name:LERNER
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:771 W END AVE
Mailing Address - Street 2:APT 5D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5572
Mailing Address - Country:US
Mailing Address - Phone:212-865-9516
Mailing Address - Fax:212-663-3230
Practice Address - Street 1:50 CENTRAL PARK W
Practice Address - Street 2:SUITE 1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-6028
Practice Address - Country:US
Practice Address - Phone:212-873-4543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036950-1102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst