Provider Demographics
NPI:1235672643
Name:WEINER, ARTHUR (LCSWR)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:WEINER
Suffix:
Gender:M
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 LAKESIDE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-4205
Mailing Address - Country:US
Mailing Address - Phone:914-241-7475
Mailing Address - Fax:914-241-7475
Practice Address - Street 1:63 LAKESIDE RD
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-4205
Practice Address - Country:US
Practice Address - Phone:914-241-7475
Practice Address - Fax:914-241-7475
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-02
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0375011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical