Provider Demographics
NPI:1689760902
Name:SCHLESINGER, NAOMI J (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NAOMI
Middle Name:J
Last Name:SCHLESINGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 HILLS PARK LN
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-4062
Mailing Address - Country:US
Mailing Address - Phone:631-265-0932
Mailing Address - Fax:
Practice Address - Street 1:14 HILLS PARK LN
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-4062
Practice Address - Country:US
Practice Address - Phone:631-265-0932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0270641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN18721Medicare ID - Type Unspecified