Provider Demographics
NPI:1245396670
Name:PICOWER, EVE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:EVE
Middle Name:
Last Name:PICOWER
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 1:290 RIVERSIDE DR
Mailing Address - Street 2:7D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5200
Mailing Address - Country:US
Mailing Address - Phone:212-539-6629
Mailing Address - Fax:
Practice Address - Street 1:334 W 86TH ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3106
Practice Address - Country:US
Practice Address - Phone:212-539-6629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0546681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNF2012Medicare ID - Type Unspecified
NYNF2011Medicare ID - Type Unspecified