Provider Demographics
NPI:1164653150
Name:OHAYON, STEPHEN ISAAC (LCSW-RCSW)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:ISAAC
Last Name:OHAYON
Suffix:
Gender:M
Credentials:LCSW-RCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 5TH AVE STE 508
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-7791
Mailing Address - Country:US
Mailing Address - Phone:212-924-1529
Mailing Address - Fax:
Practice Address - Street 1:156 5TH AVE STE 508
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7791
Practice Address - Country:US
Practice Address - Phone:212-924-1529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025100101YM0800X, 102L00000X, 1041C0700X, 106H00000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator