Provider Demographics
NPI:1407166333
Name:FELIZ, CLAUDIA A (LMSW)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:A
Last Name:FELIZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:
Other - Last Name:CRUZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:717 CLARENCE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-1703
Mailing Address - Country:US
Mailing Address - Phone:646-255-7122
Mailing Address - Fax:
Practice Address - Street 1:2857 LINDEN BLVD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-5126
Practice Address - Country:US
Practice Address - Phone:718-235-3100
Practice Address - Fax:718-277-0822
Is Sole Proprietor?:No
Enumeration Date:2010-10-13
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY080120104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker