Provider Demographics
NPI:1982825311
Name:OPPENHEIM, DANIEL J (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:J
Last Name:OPPENHEIM
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 BROADWAY STE 838
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3200
Mailing Address - Country:US
Mailing Address - Phone:212-595-6152
Mailing Address - Fax:
Practice Address - Street 1:2350 BROADWAY STE 838
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3200
Practice Address - Country:US
Practice Address - Phone:212-595-6152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR037121-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY136296OtherVALUE OPTIONS
NY7404233OtherGHI-BMP
NY75434683OtherUNITED BEHAVIOURAL HEALTH
NYR037121-NO2OtherHIP
NY7624906OtherAETNA
NYR037121-B37OtherHEALTH FIRST
NYR037121-NO2Medicare UPIN
NY7624906OtherAETNA