Provider Demographics
NPI:1689723363
Name:WARNER, ALAN S (LCSWR)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:S
Last Name:WARNER
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 LINCOLN AVE
Mailing Address - Street 2:APT. 1E
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-1122
Mailing Address - Country:US
Mailing Address - Phone:914-946-6220
Mailing Address - Fax:914-946-3972
Practice Address - Street 1:15 LEROY PLACE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801
Practice Address - Country:US
Practice Address - Phone:914-636-0547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR025571-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker