Provider Demographics
NPI:1144409814
Name:WOODS, GAIL L (MS LCSW LMFT)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:L
Last Name:WOODS
Suffix:
Gender:F
Credentials:MS LCSW LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 WEST 96TH ST
Mailing Address - Street 2:SUITE 32F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6271
Mailing Address - Country:US
Mailing Address - Phone:917-282-5834
Mailing Address - Fax:
Practice Address - Street 1:275 WEST 96TH ST
Practice Address - Street 2:SUITE 32F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6271
Practice Address - Country:US
Practice Address - Phone:917-282-5834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR02201211041C0700X
NY0003451106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNE0651OtherMERRILL LYNCH SELECT PROV