Provider Demographics
NPI:1982475620
Name:KHOAI PSYCHOTHERAPY, LCSW
Entity Type:Organization
Organization Name:KHOAI PSYCHOTHERAPY, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:URMI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAKRABARTI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:917-475-6224
Mailing Address - Street 1:63 DOWNING ST APT 9B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-4331
Mailing Address - Country:US
Mailing Address - Phone:817-999-2388
Mailing Address - Fax:
Practice Address - Street 1:125 E 23RD ST STE 304
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4576
Practice Address - Country:US
Practice Address - Phone:917-475-6224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty