Provider Demographics
NPI:1881062446
Name:UNION SQUARE COUNSELING LCSW P.C.
Entity type:Organization
Organization Name:UNION SQUARE COUNSELING LCSW P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAWANT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:646-203-1506
Mailing Address - Street 1:8515 MAIN ST
Mailing Address - Street 2:APT # 8G
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-1879
Mailing Address - Country:US
Mailing Address - Phone:646-203-1506
Mailing Address - Fax:
Practice Address - Street 1:24 E 12TH ST
Practice Address - Street 2:403 A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4513
Practice Address - Country:US
Practice Address - Phone:646-203-1506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-11
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY083281251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health