Provider Demographics
NPI:1790122828
Name:MICHAELS, VERA (PHD, CSW)
Entity Type:Individual
Prefix:DR
First Name:VERA
Middle Name:
Last Name:MICHAELS
Suffix:
Gender:F
Credentials:PHD, CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 E 10TH ST
Mailing Address - Street 2:SUITE 1F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-6107
Mailing Address - Country:US
Mailing Address - Phone:212-228-0435
Mailing Address - Fax:
Practice Address - Street 1:25 E 10TH ST
Practice Address - Street 2:SUITE 1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-6107
Practice Address - Country:US
Practice Address - Phone:212-228-0435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR014559-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical