Provider Demographics
NPI:1235281387
Name:WARDEN, DEBORAH HARRIETTE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:HARRIETTE
Last Name:WARDEN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 A. C. POWELL, JR. BLVD.
Mailing Address - Street 2:APT. 5B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-0000
Mailing Address - Country:US
Mailing Address - Phone:917-403-2507
Mailing Address - Fax:
Practice Address - Street 1:HARLEM HOSPITAL CENTER 506 LENOX AVE.
Practice Address - Street 2:SOCIAL WORK DEPARTMENT SUITE 6114
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-0000
Practice Address - Country:US
Practice Address - Phone:212-939-4622
Practice Address - Fax:212-939-4609
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073826-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical