Provider Demographics
NPI:1881913135
Name:WEISMAN, ARLENE (LCSWR)
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:WEISMAN
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 VERMONT ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-1440
Mailing Address - Country:US
Mailing Address - Phone:302-569-2822
Mailing Address - Fax:
Practice Address - Street 1:23284 BRIDGEWAY DR W
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-5115
Practice Address - Country:US
Practice Address - Phone:302-569-2822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-26
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0329241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical