Provider Demographics
NPI:1902019532
Name:BODZIN STRAUSS, GAIL LINDA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:LINDA
Last Name:BODZIN STRAUSS
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 1:5 HORIZON ROAD
Mailing Address - Street 2:APT 1801
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-6641
Mailing Address - Country:US
Mailing Address - Phone:201-886-2051
Mailing Address - Fax:201-886-9441
Practice Address - Street 1:25 WEST 81 ST
Practice Address - Street 2:SUITE 1-D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6023
Practice Address - Country:US
Practice Address - Phone:212-595-6114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR02407911041C0700X
NJSC143471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY145412OtherVALUE OPTIONS
NY0039746OtherGHI
NY0039746OtherGHI
NY145412OtherVALUE OPTIONS