Provider Demographics
NPI:1780367136
Name:SOLEIMANI, PAIGE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:
Last Name:SOLEIMANI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:PAIGE
Other - Middle Name:
Other - Last Name:YAFEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1133 WESTCHESTER AVE STE N-006
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-3550
Mailing Address - Country:US
Mailing Address - Phone:914-898-3891
Mailing Address - Fax:
Practice Address - Street 1:1133 WESTCHESTER AVE STE N-006
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-3550
Practice Address - Country:US
Practice Address - Phone:914-898-3891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-11
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103862104100000X
NY1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker