Provider Demographics
NPI:1023103504
Name:SAINER, ALICIA C (LCSW-R)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:C
Last Name:SAINER
Suffix:
Gender:F
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 1:465 WEST END AVENUE
Mailing Address - Street 2:SUITE # 7C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4926
Mailing Address - Country:US
Mailing Address - Phone:212-580-1969
Mailing Address - Fax:
Practice Address - Street 1:465 WEST END AVENUE
Practice Address - Street 2:SUITE # 7C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4926
Practice Address - Country:US
Practice Address - Phone:212-580-1969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0418181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6236745OtherUBH
NY268982OtherMHN
NYP2536702OtherOXFORD
NY7480587OtherGHI
NY02123155Medicaid
NY163972OtherVALUE OPTIONS
NYR041818-A37OtherHEALTHFIRST
NY7480587OtherGHI