Provider Demographics
NPI:1871563809
Name:PAWLOSKI, EILEEN MARY (LCSW)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:MARY
Last Name:PAWLOSKI
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 1:7 MIDLAND GDNS APT 2O
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-4711
Mailing Address - Country:US
Mailing Address - Phone:914-337-4721
Mailing Address - Fax:
Practice Address - Street 1:LRMC, CMR 402
Practice Address - Street 2:BOX 102
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09180
Practice Address - Country:US
Practice Address - Phone:312-486-8366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0039491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical