Provider Demographics
NPI:1558414581
Name:KLEIMAN, MICHELE ROSE (LMSW)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:ROSE
Last Name:KLEIMAN
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 1:54 STONY HILL DR
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1179
Mailing Address - Country:US
Mailing Address - Phone:718-288-8883
Mailing Address - Fax:718-646-1712
Practice Address - Street 1:2454 E 14TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3902
Practice Address - Country:US
Practice Address - Phone:718-288-8883
Practice Address - Fax:718-646-1712
Is Sole Proprietor?:No
Enumeration Date:2007-01-21
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072676-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical