Provider Demographics
NPI:1093994881
Name:SEGLIN, ALAN (LCSW)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:SEGLIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEA CLIFF
Mailing Address - State:NY
Mailing Address - Zip Code:11579-1414
Mailing Address - Country:US
Mailing Address - Phone:718-868-1400
Mailing Address - Fax:
Practice Address - Street 1:92 8TH AVE
Practice Address - Street 2:
Practice Address - City:SEA CLIFF
Practice Address - State:NY
Practice Address - Zip Code:11579-1414
Practice Address - Country:US
Practice Address - Phone:516-287-9817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-29
Last Update Date:2021-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0235051041C0700X
NY0729031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical