Provider Demographics
NPI:1417443565
Name:CHAYE GEWIRTZMAN LCSW PLLC
Entity Type:Organization
Organization Name:CHAYE GEWIRTZMAN LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAYE
Authorized Official - Middle Name:
Authorized Official - Last Name:GEWIRTZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-548-0864
Mailing Address - Street 1:12 UNDERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1816
Mailing Address - Country:US
Mailing Address - Phone:845-548-0864
Mailing Address - Fax:
Practice Address - Street 1:12 UNDERWOOD RD
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-1816
Practice Address - Country:US
Practice Address - Phone:845-548-0864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY083665-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty