Clinical, Consultation And Supervision Services Lcsw Pllc

LBN: Clinical, Consultation And Supervision Services Lcsw Pllc
Clinical, Consultation And Supervision Services Lcsw Pllc is an health care organization with primary practice located at 3510 Bainbridge Ave Apt S1 , Bronx NY 10467-1419. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Clinical, Consultation And Supervision Services Lcsw Pllc can be contacted via phone (917) 653-8972, or through Nerestan, Dominique via phone (917) 653-8972.

Contact Information

Primary practice address
3510 Bainbridge Ave Apt S1 Bronx NY 10467-1419
Phone: (917) 653-8972
Fax: (888) 812-4062
Website:
Map and Directions
Authorized official contact:
Name: Nerestan, Dominique LCSW-R
Phone: (917) 653-8972

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R063179 New York

Profile Details

NPI number 1629329438
LBN Legal business name Clinical, Consultation And Supervision Services Lcsw Pllc
DBA Doing business as
Authorized official Nerestan, Dominique LCSW-R
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2012
Last updated Jan 8th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629329438 NPPES
New York Other R063179 NYS LICENSE

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