Provider Demographics
NPI:1710177365
Name:MENDELOWITZ, FRANCINE (LCSW)
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:
Last Name:MENDELOWITZ
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 1:2108 SENECA DR S
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-3610
Mailing Address - Country:US
Mailing Address - Phone:516-867-4773
Mailing Address - Fax:516-867-4773
Practice Address - Street 1:2108 SENECA DR S
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-3610
Practice Address - Country:US
Practice Address - Phone:516-867-4773
Practice Address - Fax:516-867-4773
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR039154-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN533F1Medicare PIN