Provider Demographics
NPI:1740425040
Name:KASS, NOAH (LCSW, MA)
Entity Type:Individual
Prefix:
First Name:NOAH
Middle Name:
Last Name:KASS
Suffix:
Gender:M
Credentials:LCSW, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 E 79TH ST APT 3E
Mailing Address - Street 2:7TH FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0848
Mailing Address - Country:US
Mailing Address - Phone:917-776-2339
Mailing Address - Fax:
Practice Address - Street 1:215 E 79TH ST APT 3E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0848
Practice Address - Country:US
Practice Address - Phone:917-776-2339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0794201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical