Provider Demographics
NPI:1447597232
Name:NOAH CLYMAN LCSW, P.C.
Entity Type:Organization
Organization Name:NOAH CLYMAN LCSW, P.C.
Other - Org Name:NYC COGNITIVE THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:B
Authorized Official - Last Name:CLYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, ACT
Authorized Official - Phone:347-470-8870
Mailing Address - Street 1:3414 81ST ST
Mailing Address - Street 2:APT. 2
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-2817
Mailing Address - Country:US
Mailing Address - Phone:973-768-7552
Mailing Address - Fax:347-730-5535
Practice Address - Street 1:19 W 34TH ST
Practice Address - Street 2:PENTHOUSE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3006
Practice Address - Country:US
Practice Address - Phone:973-768-7552
Practice Address - Fax:347-730-5535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-14
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY078302-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty