Provider Demographics
NPI:1952880767
Name:NANCY A PAYNE, LCSW, PLLC
Entity Type:Organization
Organization Name:NANCY A PAYNE, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ARNOLD
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW
Authorized Official - Phone:917-763-4540
Mailing Address - Street 1:154 W 70TH ST APT 10A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4497
Mailing Address - Country:US
Mailing Address - Phone:917-763-4540
Mailing Address - Fax:212-580-4389
Practice Address - Street 1:154 W 70TH ST APT 10A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4497
Practice Address - Country:US
Practice Address - Phone:917-763-4540
Practice Address - Fax:212-580-4389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty