Provider Demographics
NPI:1598910382
Name:ESCOFFIER, AIMEE LUCILE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:AIMEE
Middle Name:LUCILE
Last Name:ESCOFFIER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 GLEN AVENUE
Mailing Address - Street 2:
Mailing Address - City:SEA CLIFF
Mailing Address - State:NY
Mailing Address - Zip Code:11579
Mailing Address - Country:US
Mailing Address - Phone:516-933-4700
Mailing Address - Fax:516-653-0110
Practice Address - Street 1:4 FERN PLACE
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803
Practice Address - Country:US
Practice Address - Phone:516-933-4700
Practice Address - Fax:516-653-0110
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055719-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker