Provider Demographics
NPI:1508011032
Name:WECKSELL, ADRIENNE N (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:ADRIENNE
Middle Name:N
Last Name:WECKSELL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 KENT DR
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-1813
Mailing Address - Country:US
Mailing Address - Phone:917-743-2683
Mailing Address - Fax:
Practice Address - Street 1:240 KENT DR
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1813
Practice Address - Country:US
Practice Address - Phone:917-743-2683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No104100000XBehavioral Health & Social Service ProvidersSocial Worker