Provider Demographics
NPI:1831538347
Name:DOROTHY WHALEN LCSW PC
Entity type:Organization
Organization Name:DOROTHY WHALEN LCSW PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORK
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:WHALEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:914-669-8360
Mailing Address - Street 1:PO BOX 529
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SOMERS
Mailing Address - State:NY
Mailing Address - Zip Code:10589-0529
Mailing Address - Country:US
Mailing Address - Phone:914-669-8360
Mailing Address - Fax:914-669-8361
Practice Address - Street 1:253 ROUTE 202
Practice Address - Street 2:SUITE 4
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589-3218
Practice Address - Country:US
Practice Address - Phone:914-669-8360
Practice Address - Fax:914-669-8361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-18
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
A100145282Medicare UPIN