Provider Demographics
NPI:1679756126
Name:MICHELS, VERENA CHRISTIANA (CSW)
Entity Type:Individual
Prefix:MRS
First Name:VERENA
Middle Name:CHRISTIANA
Last Name:MICHELS
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 PARK RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2143
Mailing Address - Country:US
Mailing Address - Phone:914-725-3118
Mailing Address - Fax:
Practice Address - Street 1:25 PARK RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-2143
Practice Address - Country:US
Practice Address - Phone:914-725-3118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0098131041C0700X
NY009813PR283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No283Q00000XHospitalsPsychiatric Hospital