Provider Demographics
NPI:1467402958
Name:KATZ, LAURA S (LCSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:S
Last Name:KATZ
Suffix:
Gender:F
Credentials:LCSW
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1156 N BROADWAY
Mailing Address - Street 2:ANDRUS CHILDREN'S CENTER
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1108
Mailing Address - Country:US
Mailing Address - Phone:914-965-3700
Mailing Address - Fax:914-965-3883
Practice Address - Street 1:30 S BROADWAY
Practice Address - Street 2:ANDRUS CHILDREN'S CENTER MENTAL HEALTH DIVISION
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-3712
Practice Address - Country:US
Practice Address - Phone:914-968-1663
Practice Address - Fax:914-965-1664
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0746341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00074634Medicaid
NYN60P0VE061Medicare PIN