Provider Demographics
NPI:1326232778
Name:FIGUEROA, JUAN LUIS (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JUAN
Middle Name:LUIS
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:GIOVANNI
Other - Middle Name:
Other - Last Name:FIGUEROA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:5800 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NEW YORK
Mailing Address - Zip Code:11220
Mailing Address - Country:UM
Mailing Address - Phone:718-630-8298
Mailing Address - Fax:
Practice Address - Street 1:514 49TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2010
Practice Address - Country:US
Practice Address - Phone:718-431-2600
Practice Address - Fax:718-437-5239
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0790161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical