Organization Name: | LCSW INTERVENTIONS FOR EMOTIONAL GROWTH, PC |
NPI Number: | 1114286101 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MONICA BRIGNOLO (CLINICAL DIRECTOR) |
Mailing Address: | 14101 68th Dr Suite A Kew Gardens Hills |
State: | NY US |
Postal Code: | 113671635 |
Phone Number: | 7185200798 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2012 |
NPI Last Update Date: | 05/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | RO46222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |