Provider Demographics
NPI:1205047974
Name:HAUSER, LUDWIG PHILIPP (LCSW, CASAC)
Entity type:Individual
Prefix:MR
First Name:LUDWIG
Middle Name:PHILIPP
Last Name:HAUSER
Suffix:
Gender:M
Credentials:LCSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5924 NORMAN ST
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-5935
Mailing Address - Country:US
Mailing Address - Phone:718-417-7123
Mailing Address - Fax:
Practice Address - Street 1:5924 NORMAN ST
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-5935
Practice Address - Country:US
Practice Address - Phone:718-417-7123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2250101YA0400X
NYR0227771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical