Provider Demographics
NPI:1982769428
Name:WEINBERG, CLAIRE MARIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:MARIE
Last Name:WEINBERG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 WELLINGTON PL
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-3030
Mailing Address - Country:US
Mailing Address - Phone:516-770-4870
Mailing Address - Fax:631-264-0649
Practice Address - Street 1:199 N WELLWOOD AVE
Practice Address - Street 2:SUIT 4
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-4003
Practice Address - Country:US
Practice Address - Phone:516-770-4870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR052719-1101YA0400X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02069730Medicaid
NYNF0133Medicare ID - Type UnspecifiedMEDICARE PAR T B
NYP01787Medicare UPIN