Provider Demographics
NPI:1508039546
Name:FEUERMAN, CHAYA (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:CHAYA
Middle Name:
Last Name:FEUERMAN
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14732 69TH RD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1732
Mailing Address - Country:US
Mailing Address - Phone:718-793-1376
Mailing Address - Fax:718-686-4275
Practice Address - Street 1:14732 69TH RD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1732
Practice Address - Country:US
Practice Address - Phone:718-793-1376
Practice Address - Fax:718-686-4275
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0545881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical