Provider Demographics
NPI:1982764338
Name:EATON, ORIEL (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:ORIEL
Middle Name:
Last Name:EATON
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 GAIR ST
Mailing Address - Street 2:
Mailing Address - City:PIERMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10968-1081
Mailing Address - Country:US
Mailing Address - Phone:845-359-4144
Mailing Address - Fax:
Practice Address - Street 1:277 NORTH AVE
Practice Address - Street 2:3RD FLOOR, THE GUIDANCE CENTER
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5103
Practice Address - Country:US
Practice Address - Phone:914-632-7600
Practice Address - Fax:914-632-8837
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072764104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN696Z1Medicare ID - Type Unspecified