Provider Demographics
NPI:1902193717
Name:VON OISTE, GLORIA DA SILVA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:GLORIA
Middle Name:DA SILVA
Last Name:VON OISTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:GLORIA
Other - Middle Name:DA SILVA
Other - Last Name:PEREZ-SEGNINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:35 PURCHASE ST STE 203
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-3004
Mailing Address - Country:US
Mailing Address - Phone:914-954-2309
Mailing Address - Fax:914-305-3855
Practice Address - Street 1:35 PURCHASE ST
Practice Address - Street 2:SUITE 203
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-3004
Practice Address - Country:US
Practice Address - Phone:914-954-2309
Practice Address - Fax:914-305-3855
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-30
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY08316311041C0700X
NY083163-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical