Provider Demographics
NPI:1942557418
Name:HAGOPIAN, JANET SUZANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:JANET SUZANNE
Middle Name:
Last Name:HAGOPIAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SUZIE
Other - Middle Name:
Other - Last Name:HAGOPIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:345 W 145TH ST APT 12A4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-5313
Mailing Address - Country:US
Mailing Address - Phone:917-566-6562
Mailing Address - Fax:
Practice Address - Street 1:300 FLATBUSH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-2812
Practice Address - Country:US
Practice Address - Phone:718-622-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0869851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical