Provider Demographics
NPI:1417147133
Name:FAMILY MATTERS SERVICES LCSW, PLLC
Entity Type:Organization
Organization Name:FAMILY MATTERS SERVICES LCSW, PLLC
Other - Org Name:FAMILY MATTERS CLINICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:N
Authorized Official - Last Name:SYDOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:212-537-6419
Mailing Address - Street 1:250 5TH AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-6405
Mailing Address - Country:US
Mailing Address - Phone:212-537-6419
Mailing Address - Fax:212-532-5125
Practice Address - Street 1:250 5TH AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6405
Practice Address - Country:US
Practice Address - Phone:212-537-6419
Practice Address - Fax:212-532-5125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0753451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty