Provider Demographics
NPI:1487021945
Name:AASK THERAPEUTIC SERVICES, LCSW, PLLC
Entity Type:Organization
Organization Name:AASK THERAPEUTIC SERVICES, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:DOUGLAS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:914-475-4083
Mailing Address - Street 1:18 VICTOR RD
Mailing Address - Street 2:
Mailing Address - City:BEACON
Mailing Address - State:NY
Mailing Address - Zip Code:12508-3935
Mailing Address - Country:US
Mailing Address - Phone:914-475-4083
Mailing Address - Fax:
Practice Address - Street 1:1073 MAIN ST
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-3513
Practice Address - Country:US
Practice Address - Phone:914-475-4083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-31
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty