Provider Demographics
NPI:1326101353
Name:GENS SCORZELLI, ARLENE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:
Last Name:GENS SCORZELLI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ARLENE
Other - Middle Name:
Other - Last Name:SCORZELLI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1518 GILLESPIE AVENUE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-5506
Mailing Address - Country:US
Mailing Address - Phone:212-592-3606
Mailing Address - Fax:212-239-0948
Practice Address - Street 1:19 WEST 34 STREET
Practice Address - Street 2:PENTHOUSE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:212-592-3606
Practice Address - Fax:212-239-0948
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0226401104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MHS 559107OtherVALUE OPTIONS
NY022640Other1199 SEIU
NY02246808Medicaid
559107OtherMHS
P3664270OtherOXFORD
NY02246808Medicaid