Provider Demographics
NPI:1598362428
Name:PATEL, ALPANA (LCSW)
Entity Type:Individual
Prefix:
First Name:ALPANA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11701 PARK LN S APT B3I
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-1035
Mailing Address - Country:US
Mailing Address - Phone:917-975-4581
Mailing Address - Fax:
Practice Address - Street 1:11701 PARK LN S APT B3I
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-1035
Practice Address - Country:US
Practice Address - Phone:917-975-4581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-04
Last Update Date:2020-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY086026-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical