Provider Demographics
NPI:1295157345
Name:CHOICES IN THERAPY LCSWPC
Entity type:Organization
Organization Name:CHOICES IN THERAPY LCSWPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:646-675-9109
Mailing Address - Street 1:1820 AVENUE N
Mailing Address - Street 2:ID
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6106
Mailing Address - Country:US
Mailing Address - Phone:646-675-9109
Mailing Address - Fax:718-258-5334
Practice Address - Street 1:1820 AVENUE N
Practice Address - Street 2:ID
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6106
Practice Address - Country:US
Practice Address - Phone:646-675-9109
Practice Address - Fax:718-258-5334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-08
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP0199881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty