Provider Demographics
NPI:1326079856
Name:LAURA E ASNER CSW PC
Entity Type:Organization
Organization Name:LAURA E ASNER CSW PC
Other - Org Name:ADVANCED COUNSELING ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW -R
Authorized Official - Phone:631-724-1513
Mailing Address - Street 1:260 MONTAUK HWY
Mailing Address - Street 2:STE-8
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706
Mailing Address - Country:US
Mailing Address - Phone:631-647-9009
Mailing Address - Fax:
Practice Address - Street 1:260 MONTAUK HWY
Practice Address - Street 2:STE-8
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706
Practice Address - Country:US
Practice Address - Phone:631-647-9009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0502281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY06648OtherGHI MEDICARE
NY02635601Medicaid
NYBA0400OtherUPSTATE MEDICARE
NYN3W341Medicare ID - Type Unspecified