Provider Demographics
NPI:1245777127
Name:DRAPKIN, DAVID (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:DRAPKIN
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 1:1130 MAGNOLIA RD
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2744
Mailing Address - Country:US
Mailing Address - Phone:917-565-0706
Mailing Address - Fax:
Practice Address - Street 1:1130 MAGNOLIA RD
Practice Address - Street 2:10
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-2744
Practice Address - Country:US
Practice Address - Phone:917-565-0706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC057139001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical