Provider Demographics
NPI:1558640151
Name:TORRES FELT, MAGDALENA (CSW-R)
Entity Type:Individual
Prefix:MS
First Name:MAGDALENA
Middle Name:
Last Name:TORRES FELT
Suffix:
Gender:F
Credentials:CSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 OCEAN AVE
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-8716
Mailing Address - Country:US
Mailing Address - Phone:631-665-1411
Mailing Address - Fax:
Practice Address - Street 1:241 S OCEAN AVE
Practice Address - Street 2:
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-3732
Practice Address - Country:US
Practice Address - Phone:631-684-6440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-12
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0571001041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool