Provider Demographics
NPI:1275621534
Name:SAYLES, TREMAINE ANSEL (LCSW, PSYD)
Entity Type:Individual
Prefix:DR
First Name:TREMAINE
Middle Name:ANSEL
Last Name:SAYLES
Suffix:
Gender:M
Credentials:LCSW, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 HUGUENOT ST STE 200
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-7710
Mailing Address - Country:US
Mailing Address - Phone:646-386-1527
Mailing Address - Fax:646-956-1768
Practice Address - Street 1:173 HUGUENOT ST STE 200
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-7710
Practice Address - Country:US
Practice Address - Phone:646-386-1527
Practice Address - Fax:646-956-1768
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY064635104100000X
NY0773221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker