Provider Demographics
NPI:1518102490
Name:LEFKOWITZ, JACQUELINE (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:
Last Name:LEFKOWITZ
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 W 34TH ST FL 11
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3075
Mailing Address - Country:US
Mailing Address - Phone:917-971-0562
Mailing Address - Fax:
Practice Address - Street 1:19 W 34TH ST FL 11
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3075
Practice Address - Country:US
Practice Address - Phone:917-971-0562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0497271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical