Provider Demographics
NPI:1568616639
Name:CUEVAS, ANGEL LOUIS (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ANGEL
Middle Name:LOUIS
Last Name:CUEVAS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7575 184TH ST
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1714
Mailing Address - Country:US
Mailing Address - Phone:718-454-8875
Mailing Address - Fax:718-454-8875
Practice Address - Street 1:7575 184TH ST
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1714
Practice Address - Country:US
Practice Address - Phone:718-454-8875
Practice Address - Fax:718-454-8875
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-15
Last Update Date:2008-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR065624-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical