Provider Demographics
NPI:1558779611
Name:MARIA P ARCILA, LCSW, PC
Entity Type:Organization
Organization Name:MARIA P ARCILA, LCSW, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:ARCILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-283-0366
Mailing Address - Street 1:3123 78TH ST
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11370-1826
Mailing Address - Country:US
Mailing Address - Phone:646-283-0366
Mailing Address - Fax:
Practice Address - Street 1:8211 37TH AVE STE LL7
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7004
Practice Address - Country:US
Practice Address - Phone:646-283-0366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0817401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty