Healthcare Provider Details

I. General information

NPI: 1396371852
Provider Name (Legal Business Name): LAQUANIQUE LOUISE ESPOSITO LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2020
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116WEST 32ND STREET
NEW YORK NY
10001-3212
US

IV. Provider business mailing address

116WEST 32ND STREET
NEW YORK NY
10001
US

V. Phone/Fax

Practice location:
  • Phone: 235-564-2350
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: