Provider Demographics
NPI:1265110902
Name:ERIC AXEL, LCSW PLLC
Entity type:Organization
Organization Name:ERIC AXEL, LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:AXEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:646-397-1212
Mailing Address - Street 1:1212 5TH AVE APT 5C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-5217
Mailing Address - Country:US
Mailing Address - Phone:646-397-1212
Mailing Address - Fax:
Practice Address - Street 1:1212 5TH AVE APT 5C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-5217
Practice Address - Country:US
Practice Address - Phone:929-390-2266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-11
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty