Provider Demographics
NPI:1851634927
Name:MIND MATTERS LCSW PC
Entity Type:Organization
Organization Name:MIND MATTERS LCSW PC
Other - Org Name:MIND MATTERS LCSW PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LCSW-R
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:718-288-8883
Mailing Address - Street 1:54 STONY HILL DR
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1179
Mailing Address - Country:US
Mailing Address - Phone:718-888-8883
Mailing Address - Fax:718-646-1712
Practice Address - Street 1:2330 VOORHIES AVE APT 2O
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2646
Practice Address - Country:US
Practice Address - Phone:718-888-8883
Practice Address - Fax:718-646-1712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-27
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty