Provider Demographics
NPI:1184968935
Name:PIRES, WARREN SEAN (LCSW-R)
Entity type:Individual
Prefix:MR
First Name:WARREN
Middle Name:SEAN
Last Name:PIRES
Suffix:
Gender:M
Credentials:LCSW-R
Other - Prefix:MR
Other - First Name:JAY
Other - Middle Name:
Other - Last Name:PIRES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW-R
Mailing Address - Street 1:280 RECTOR PL APT 6C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10280-1140
Mailing Address - Country:US
Mailing Address - Phone:917-974-8615
Mailing Address - Fax:
Practice Address - Street 1:1824 MADISON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-3832
Practice Address - Country:US
Practice Address - Phone:212-633-0815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-18
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY087512104100000X
NY0845231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY084523OtherSTATE LICENSE