Provider Demographics
NPI:1801100011
Name:SAENZ DE VITERI, NORTON AURTHUR (LCSW)
Entity type:Individual
Prefix:
First Name:NORTON
Middle Name:AURTHUR
Last Name:SAENZ DE VITERI
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 1:10340 52ND AVE
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-3253
Mailing Address - Country:US
Mailing Address - Phone:646-709-1841
Mailing Address - Fax:
Practice Address - Street 1:10340 52ND AVE
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-3253
Practice Address - Country:US
Practice Address - Phone:646-709-1841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-29
Last Update Date:2017-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0838401041C0700X
NY0736971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty