Provider Demographics
NPI:1598173270
Name:PERSPECTIVES COUNSELING LICENSED CLINICAL SOCIAL WORKER
Entity Type:Organization
Organization Name:PERSPECTIVES COUNSELING LICENSED CLINICAL SOCIAL WORKER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE-LERNER
Authorized Official - Suffix:
Authorized Official - Credentials:RLCSW
Authorized Official - Phone:516-349-1708
Mailing Address - Street 1:1120 OLD COUNTRY RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-5021
Mailing Address - Country:US
Mailing Address - Phone:516-349-1708
Mailing Address - Fax:516-349-1708
Practice Address - Street 1:1120 OLD COUNTRY RD
Practice Address - Street 2:SUITE 305
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-5021
Practice Address - Country:US
Practice Address - Phone:516-349-1708
Practice Address - Fax:516-349-1708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-26
Last Update Date:2014-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR053374-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty