Provider Demographics
NPI:1992376230
Name:VERVE PSYCHOTHERAPY LCSW, PLLC
Entity Type:Organization
Organization Name:VERVE PSYCHOTHERAPY LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:212-287-4027
Mailing Address - Street 1:10 HALLETTS PT APT 1201
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-4689
Mailing Address - Country:US
Mailing Address - Phone:212-287-4027
Mailing Address - Fax:888-597-2377
Practice Address - Street 1:10 HALLETTS PT APT 1201
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-4689
Practice Address - Country:US
Practice Address - Phone:212-287-4027
Practice Address - Fax:888-597-2377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty