Provider Demographics
NPI:1194035550
Name:MENZIES, CATHY (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:MENZIES
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 1:99 TULIP AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-1974
Mailing Address - Country:US
Mailing Address - Phone:631-466-7053
Mailing Address - Fax:844-965-9600
Practice Address - Street 1:99 TULIP AVE STE 305
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-1974
Practice Address - Country:US
Practice Address - Phone:631-466-7053
Practice Address - Fax:800-965-9600
Is Sole Proprietor?:No
Enumeration Date:2010-10-19
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY609831041S0200X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool