Organization Name: | MOLLIE SOKOLOV LCSW |
NPI Number: | 1235533811 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MOLLIE R SOKOLOV (CLINICIAN) |
Mailing Address: | 134 Main St Suite # 2a New Paltz |
State: | NY US |
Postal Code: | 125611128 |
Phone Number: | 9148192348 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2014 |
NPI Last Update Date: | 10/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R029114 |
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 |