Provider Demographics
NPI:1679022263
Name:FILS-AIME, LYRICA (LCSW-R)
Entity Type:Individual
Prefix:
First Name:LYRICA
Middle Name:
Last Name:FILS-AIME
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 1:753 SAINT NICHOLAS AVE APT 4B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-4953
Mailing Address - Country:US
Mailing Address - Phone:347-395-1497
Mailing Address - Fax:
Practice Address - Street 1:753 SAINT NICHOLAS AVE APT 1A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-4953
Practice Address - Country:US
Practice Address - Phone:347-541-5695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-24
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0843321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical