Provider Demographics
NPI:1447349071
Name:SOCIAL WORK COUNSELING SERVICES LCSW PLLC
Entity type:Organization
Organization Name:SOCIAL WORK COUNSELING SERVICES LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:P
Authorized Official - Last Name:LEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:718-721-0633
Mailing Address - Street 1:2924 HOYT AVE S
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-1738
Mailing Address - Country:US
Mailing Address - Phone:718-721-0633
Mailing Address - Fax:718-721-0699
Practice Address - Street 1:2924 HOYT AVE S
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102
Practice Address - Country:US
Practice Address - Phone:718-721-0633
Practice Address - Fax:718-721-0699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR046909-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02284751Medicaid
NY04953Medicare ID - Type Unspecified