Provider Demographics
NPI:1376724997
Name:TESSLER, BETH WEINSTEIN (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:WEINSTEIN
Last Name:TESSLER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 DAVID DRIVE
Mailing Address - Street 2:
Mailing Address - City:NORTH SALEM
Mailing Address - State:NY
Mailing Address - Zip Code:10560
Mailing Address - Country:US
Mailing Address - Phone:914-949-6761
Mailing Address - Fax:914-949-3224
Practice Address - Street 1:141 NORTH CENTRAL AVENUE
Practice Address - Street 2:C/O WJCS
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530
Practice Address - Country:US
Practice Address - Phone:914-949-6761
Practice Address - Fax:914-949-3224
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY065130-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker