Provider Demographics
NPI:1477815280
Name:QUEENS COUNSELING SERVICES LCSW, PLLC
Entity Type:Organization
Organization Name:QUEENS COUNSELING SERVICES LCSW, PLLC
Other - Org Name:QUEENS COUNSELING SERVICES, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ZOIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIZGORIC
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:718-426-8110
Mailing Address - Street 1:3636 33RD ST
Mailing Address - Street 2:SUITE 502
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-2329
Mailing Address - Country:US
Mailing Address - Phone:718-426-8110
Mailing Address - Fax:718-426-8117
Practice Address - Street 1:3636 33RD ST
Practice Address - Street 2:SUITE 502
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-2329
Practice Address - Country:US
Practice Address - Phone:718-426-8110
Practice Address - Fax:718-426-8117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-08
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR05236411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty