Provider Demographics
NPI:1548232309
Name:ENGEL, LOUISE JANE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LOUISE
Middle Name:JANE
Last Name:ENGEL
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 1:430 E 86TH ST
Mailing Address - Street 2:SUITE 1-F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028
Mailing Address - Country:US
Mailing Address - Phone:212-772-7262
Mailing Address - Fax:
Practice Address - Street 1:430 E 86TH ST
Practice Address - Street 2:SUITE 1-F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028
Practice Address - Country:US
Practice Address - Phone:212-772-7262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0207691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN39191OtherEMPIRE
0095933OtherGHI VALUE OPTION
7465113OtherAETNA
0001037080OtherMHN
7465113OtherAETNA