Provider Demographics
NPI:1114181880
Name:PEREZ-GONZALEZ, ANABEL (LCSW)
Entity Type:Individual
Prefix:
First Name:ANABEL
Middle Name:
Last Name:PEREZ-GONZALEZ
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 1:211 EAST 43RD STREET
Mailing Address - Street 2:SUITE 1305
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-4779
Mailing Address - Country:US
Mailing Address - Phone:646-662-7679
Mailing Address - Fax:
Practice Address - Street 1:211 EAST 43RD STREET
Practice Address - Street 2:SUITE 1305
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-4779
Practice Address - Country:US
Practice Address - Phone:646-662-7679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-11
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY079889-11041C0700X
NY0798891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical