Provider Demographics
NPI:1780100107
Name:TSENG, WAN-HAI (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:WAN-HAI
Middle Name:
Last Name:TSENG
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 1:329 WILLOW AVE APT 2R
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-3860
Mailing Address - Country:US
Mailing Address - Phone:718-288-2024
Mailing Address - Fax:
Practice Address - Street 1:1270 AVENUE OF THE AMERICAS FL 7
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10020-1702
Practice Address - Country:US
Practice Address - Phone:718-288-2024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-17
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0900151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical