Provider Demographics
NPI:1013233469
Name:FLOT, CHARLES E JR (LCSW-R)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:E
Last Name:FLOT
Suffix:JR
Gender:M
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MANHATTAN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-3950
Mailing Address - Country:US
Mailing Address - Phone:718-388-3075
Mailing Address - Fax:718-388-4468
Practice Address - Street 1:10 MANHATTAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-3950
Practice Address - Country:US
Practice Address - Phone:718-388-3075
Practice Address - Fax:718-388-4468
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR020814-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical