Provider Demographics
NPI:1235362369
Name:FLECHA, CARMEN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CARMEN
Middle Name:
Last Name:FLECHA
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 1:945 UNDERHILL AVE APT 408
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-2724
Mailing Address - Country:US
Mailing Address - Phone:917-583-3370
Mailing Address - Fax:
Practice Address - Street 1:945 UNDERHILL AVE APT 408
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-2724
Practice Address - Country:US
Practice Address - Phone:917-583-3370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR054100-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical