Healthcare Provider Details

I. General information

NPI: 1093870511
Provider Name (Legal Business Name): BEATRICE R. PLASSE LCSW , DSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 E 68TH ST
NEW YORK NY
10021-4903
US

IV. Provider business mailing address

225 LAFAYETTE ST APT. 14B
NEW YORK NY
10012-4015
US

V. Phone/Fax

Practice location:
  • Phone: 212-628-9200
  • Fax: 212-472-7253
Mailing address:
  • Phone: 212-966-1241
  • Fax: 212-966-1241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number21586
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: