Provider Demographics
NPI:1215592282
Name:CAZARES, PILAR (LCSW)
Entity Type:Individual
Prefix:
First Name:PILAR
Middle Name:
Last Name:CAZARES
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 1:206 60TH ST APT 10
Mailing Address - Street 2:
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-2827
Mailing Address - Country:US
Mailing Address - Phone:201-668-6807
Mailing Address - Fax:
Practice Address - Street 1:1419 SHAKESPEARE AVENUE ASTOR SERVICES
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-1851
Practice Address - Country:US
Practice Address - Phone:718-732-7080
Practice Address - Fax:929-523-0235
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
NY0962771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker