Provider Demographics
NPI:1174196331
Name:THE NEW YORK COUNSELING AND CLINICAL SOCIAL WORK SERVICE, PC
Entity Type:Organization
Organization Name:THE NEW YORK COUNSELING AND CLINICAL SOCIAL WORK SERVICE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GROSSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:212-874-4413
Mailing Address - Street 1:160 WEST END AVENUE, SUITE 1N/P
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023
Mailing Address - Country:US
Mailing Address - Phone:212-362-1086
Mailing Address - Fax:212-866-7671
Practice Address - Street 1:160 WEST END AVENUE, SUITE 1N/P
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-362-1086
Practice Address - Fax:212-866-7671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty