Healthcare Provider Details

I. General information

NPI: 1053596171
Provider Name (Legal Business Name): ARLENE SESSA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2008
Last Update Date: 01/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 CHURCH ST
BALDWIN NY
11510-4223
US

IV. Provider business mailing address

PO BOX 55
BALDWIN NY
11510-0055
US

V. Phone/Fax

Practice location:
  • Phone: 516-546-1771
  • Fax: 516-623-5880
Mailing address:
  • Phone: 516-546-1771
  • Fax: 516-623-5880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number075788-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: