Provider Demographics
NPI:1851645618
Name:ABREU, LUIS JOSE JR (LMSW)
Entity Type:Individual
Prefix:MR
First Name:LUIS
Middle Name:JOSE
Last Name:ABREU
Suffix:JR
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 COUNTY ROUTE 22
Mailing Address - Street 2:
Mailing Address - City:SLATE HILL
Mailing Address - State:NY
Mailing Address - Zip Code:10973-3341
Mailing Address - Country:US
Mailing Address - Phone:845-801-2981
Mailing Address - Fax:
Practice Address - Street 1:313 COUNTY ROUTE 22
Practice Address - Street 2:
Practice Address - City:SLATE HILL
Practice Address - State:NY
Practice Address - Zip Code:10973-3341
Practice Address - Country:US
Practice Address - Phone:845-801-2981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY094487-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical