Provider Demographics
NPI:1639380082
Name:PAYNE, NANCY ARNOLD (PHD, LCSW)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ARNOLD
Last Name:PAYNE
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 W 70TH ST APT 10A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4497
Mailing Address - Country:US
Mailing Address - Phone:917-763-4540
Mailing Address - Fax:212-580-4389
Practice Address - Street 1:154 W 70TH ST APT 10A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4497
Practice Address - Country:US
Practice Address - Phone:917-763-4540
Practice Address - Fax:212-580-4389
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071-682-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical