Provider Demographics
NPI:1316568744
Name:KAYE, MICHELE LESLIE (LCSW)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:LESLIE
Last Name:KAYE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:275 CENTRAL PARK W APT 1F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3035
Mailing Address - Country:US
Mailing Address - Phone:646-256-3399
Mailing Address - Fax:
Practice Address - Street 1:275 CENTRAL PARK W APT 1F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3035
Practice Address - Country:US
Practice Address - Phone:646-256-3399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0569971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical