Provider Demographics
NPI:1457670960
Name:ADLER-MAUDSLEY, MIA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MIA
Middle Name:
Last Name:ADLER-MAUDSLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MIA
Other - Middle Name:
Other - Last Name:ADLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:4 E 8TH ST
Mailing Address - Street 2:#3F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-5913
Mailing Address - Country:US
Mailing Address - Phone:212-253-6977
Mailing Address - Fax:
Practice Address - Street 1:4 E 8TH ST
Practice Address - Street 2:#3F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-5913
Practice Address - Country:US
Practice Address - Phone:212-253-6977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPO599481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical