Provider Demographics
NPI:1790114585
Name:MENOS, HANS L (LCSW)
Entity Type:Individual
Prefix:
First Name:HANS
Middle Name:L
Last Name:MENOS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1567 LEXINGTON AVE
Mailing Address - Street 2:SUITE 22
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6217
Mailing Address - Country:US
Mailing Address - Phone:908-216-1177
Mailing Address - Fax:
Practice Address - Street 1:1567 LEXINGTON AVE
Practice Address - Street 2:SUITE 22
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6217
Practice Address - Country:US
Practice Address - Phone:908-216-1177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0801191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical