Provider Demographics
NPI:1588844872
Name:WILLIAM T. LENT, LCSW, LLC
Entity Type:Organization
Organization Name:WILLIAM T. LENT, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:LENT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:646-322-1582
Mailing Address - Street 1:PO BOX 331
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-0331
Mailing Address - Country:US
Mailing Address - Phone:646-322-1582
Mailing Address - Fax:
Practice Address - Street 1:110 WEST 96TH STREET
Practice Address - Street 2:SUITE# 1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6412
Practice Address - Country:US
Practice Address - Phone:646-322-1582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042325101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY042325OtherLCSW
NY02550810Medicaid
NYS95567Medicare UPIN
NY02550810Medicaid