Provider Demographics
NPI:1750695912
Name:WOLBECK, STEVEN GEORGE (LCSW)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:GEORGE
Last Name:WOLBECK
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12325 82ND AVE
Mailing Address - Street 2:6E
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-1200
Mailing Address - Country:US
Mailing Address - Phone:347-843-2035
Mailing Address - Fax:
Practice Address - Street 1:12325 82ND AVE
Practice Address - Street 2:6E
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415
Practice Address - Country:US
Practice Address - Phone:347-843-2035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-29
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0833121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical