Doctor Name: | GEORDANA WEBER |
NPI Number: | 1093045163 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 0759341 |
Business Practice Address: | 6120 Woodside Ave Woodside, NY - 113773577 |
Business Phone Number: | 7187791234 |
Business Fax Number: | |
Mailing Address: | 6120 Woodside Ave, WOODSIDE |
State: | NY |
Postal Code: | 113773577 |
Phone Number: | 7187791234 |
Fax Number: | |
NPI Enumeration Date: | 01/12/2010 |
NPI Last Update Date: | 07/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0759341 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |