Provider Demographics
NPI:1629104468
Name:WESTREICH, JOAN (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:
Last Name:WESTREICH
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 WEST END AVE
Mailing Address - Street 2:SUITE 1N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5602
Mailing Address - Country:US
Mailing Address - Phone:212-787-2129
Mailing Address - Fax:
Practice Address - Street 1:160 WEST END AVE
Practice Address - Street 2:SUITE 1N
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-5602
Practice Address - Country:US
Practice Address - Phone:212-787-2129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0575471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical