Provider Demographics
NPI:1710042809
Name:ESPINAL, JOSE A (LMSW)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:A
Last Name:ESPINAL
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:MR
Other - First Name:JOSE
Other - Middle Name:A
Other - Last Name:ESPINAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SOCIAL WORKER
Mailing Address - Street 1:3380 FORT INDEPENDENCE ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-4502
Mailing Address - Country:US
Mailing Address - Phone:646-271-4096
Mailing Address - Fax:
Practice Address - Street 1:FEGS 3600 JEROME AVENUE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-4502
Practice Address - Country:US
Practice Address - Phone:718-881-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069971101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health