Healthcare Provider Details

I. General information

NPI: 1013011758
Provider Name (Legal Business Name): ASUNCION NERI-CANDELARIA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 ST MARKS PLACE NEW YORK
NEW YORK NY
10002
US

IV. Provider business mailing address

PO BOX 1506 NEW YORK
NEW YORK NY
10009
US

V. Phone/Fax

Practice location:
  • Phone: 212-982-3470
  • Fax:
Mailing address:
  • Phone: 917-750-4830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberRO584741
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberRO584741
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: