Provider Demographics
NPI:1952033144
Name:APPLE TREE LCSW, PC.
Entity Type:Organization
Organization Name:APPLE TREE LCSW, PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LICENSED CLINICAL SOCIAL WOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:KANTOR
Authorized Official - Last Name:JACKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:914-772-6417
Mailing Address - Street 1:3180 WOODFIELD CT
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-2826
Mailing Address - Country:US
Mailing Address - Phone:914-772-6417
Mailing Address - Fax:
Practice Address - Street 1:3630 HILL BLVD STE 204A
Practice Address - Street 2:
Practice Address - City:JEFFERSON VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10535-1520
Practice Address - Country:US
Practice Address - Phone:914-302-2858
Practice Address - Fax:914-302-2859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health