Provider Demographics
NPI:1013779776
Name:OFER ZIV, LCSW, PLLC
Entity Type:Organization
Organization Name:OFER ZIV, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:OFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIV
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:347-210-2520
Mailing Address - Street 1:1416 SWEET HOME RD STE 1
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-2786
Mailing Address - Country:US
Mailing Address - Phone:716-800-1178
Mailing Address - Fax:716-745-8070
Practice Address - Street 1:1416 SWEET HOME RD STE 1
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2786
Practice Address - Country:US
Practice Address - Phone:716-800-1178
Practice Address - Fax:716-745-8070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health