Organization Name: | CENTRAL PARK LICENSED CLINICAL SOCIAL WORK SERVICES, PLLC |
NPI Number: | 1114345980 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLYN ANN STIMAN (MANAGER) |
Mailing Address: | 1075 Central Park Ave Suite 307 Scarsdale |
State: | NY US |
Postal Code: | 105833242 |
Phone Number: | 9148745521 |
Fax Number: | 9149785528 |
NPI Enumeration Date: | 03/31/2014 |
NPI Last Update Date: | 03/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | RO76063 |
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 |