Provider Demographics
NPI:1710948013
Name:DEUTSCH, GAIL ANNE (MSW LCSW)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:ANNE
Last Name:DEUTSCH
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:GAIL
Other - Middle Name:ABRAMS
Other - Last Name:DEUTSCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3 BRIDLE PATH
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-2646
Mailing Address - Country:US
Mailing Address - Phone:516-944-8812
Mailing Address - Fax:
Practice Address - Street 1:3 BRIDLE PATH
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-2646
Practice Address - Country:US
Practice Address - Phone:516-944-8812
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0399831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
N76901Medicare ID - Type Unspecified