MEDICARE: OHR LCSW PSYCHOTHERAPY SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1386435741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHR LCSW PSYCHOTHERAPY SERVICES PLLC

Provider Business Mailing Address
First Line	:	1715 46TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1212
Country	:	US
Telephone Number	:	718-755-5934
Fax Number	:

Provider Business Practice Location Address
First Line	:	1715 46TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1212
Country	:	US
Telephone Number	:	718-755-5934
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AARON ORLANDER
Credential	:	LCSW
Telephone Number	:	718-755-5934

Provider Enumeration Date	:	05/15/2025
Last Update Date	:	05/15/2025

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