Provider Demographics
NPI:1528182482
Name:BELL, CATHY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CATHY
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 N OAK ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-3125
Mailing Address - Country:US
Mailing Address - Phone:516-799-6706
Mailing Address - Fax:516-799-6706
Practice Address - Street 1:251 N OAK ST
Practice Address - Street 2:
Practice Address - City:NORTH MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-3125
Practice Address - Country:US
Practice Address - Phone:516-799-6706
Practice Address - Fax:516-799-6706
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO34205-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN3B681Medicare ID - Type Unspecified