Provider Demographics
NPI:1891823548
Name:HORWITZ, JOANNE P (LCSW)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:P
Last Name:HORWITZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 5TH AVE APT 11C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4310
Mailing Address - Country:US
Mailing Address - Phone:212-477-0047
Mailing Address - Fax:
Practice Address - Street 1:25 5TH AVE APT 11C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4310
Practice Address - Country:US
Practice Address - Phone:212-477-0047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR018086-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0084752OtherGHI
NYN0201OtherEMPIRE BLUE CROSS BLUE SH
NYN0201OtherEMPIRE BLUE CROSS BLUE SH