Provider Demographics
NPI: | 1619447570 |
---|---|
Name: | AFFIRMING PSYCHOTHERAPY LCSW PC |
Entity Type: | Organization |
Organization Name: | AFFIRMING PSYCHOTHERAPY LCSW PC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT & PSYCHOTHERAPIST |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | SCOTT |
Authorized Official - Middle Name: | ALLEN |
Authorized Official - Last Name: | KRAMER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LCSW-R |
Authorized Official - Phone: | 347-620-5433 |
Mailing Address - Street 1: | 26 W 9TH ST APT 9A |
Mailing Address - Street 2: | |
Mailing Address - City: | NEW YORK |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 10011-8920 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 347-620-5433 |
Mailing Address - Fax: | 347-558-3522 |
Practice Address - Street 1: | 26 W 9TH ST APT 9A |
Practice Address - Street 2: | |
Practice Address - City: | NEW YORK |
Practice Address - State: | NY |
Practice Address - Zip Code: | 10011-8920 |
Practice Address - Country: | US |
Practice Address - Phone: | 347-620-5433 |
Practice Address - Fax: | 347-558-3522 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2018-12-04 |
Last Update Date: | 2018-12-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Single Specialty |