Provider Demographics
NPI:1346357555
Name:FEIGELMAN, BEVERLY (LCSW ACSW CASAC)
Entity Type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:
Last Name:FEIGELMAN
Suffix:
Gender:F
Credentials:LCSW ACSW CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 34 ABERDEEN ROAD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA ESTATES
Mailing Address - State:NY
Mailing Address - Zip Code:11432
Mailing Address - Country:US
Mailing Address - Phone:718-380-8206
Mailing Address - Fax:718-380-8206
Practice Address - Street 1:181 34 ABERDEEN ROAD
Practice Address - Street 2:
Practice Address - City:JAMAICA ESTATES
Practice Address - State:NY
Practice Address - Zip Code:11432
Practice Address - Country:US
Practice Address - Phone:718-380-8206
Practice Address - Fax:718-380-8206
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5138416DUP PRO2255011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
88421Medicare UPIN