Provider Demographics
NPI:1649786831
Name:GOSWICK, ARIANA KATHLEEN (LMHC, LPC)
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:KATHLEEN
Last Name:GOSWICK
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07104-1209
Mailing Address - Country:US
Mailing Address - Phone:646-823-2220
Mailing Address - Fax:
Practice Address - Street 1:18 E 41 ST
Practice Address - Street 2:9TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:646-760-3399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-26
Last Update Date:2024-12-30
Deactivation Date:2024-06-11
Deactivation Code:
Reactivation Date:2024-12-18
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YM0800X
NY009360101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)