Provider Demographics
NPI:1194038091
Name:AVILES, ARLENE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:
Last Name:AVILES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 W 24TH ST
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-1913
Mailing Address - Country:US
Mailing Address - Phone:212-746-7169
Mailing Address - Fax:212-746-7197
Practice Address - Street 1:119 W 24TH ST
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-1913
Practice Address - Country:US
Practice Address - Phone:212-746-7169
Practice Address - Fax:212-746-7197
Is Sole Proprietor?:No
Enumeration Date:2010-07-20
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072773104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker