Healthcare Provider Details

I. General information

NPI: 1528391018
Provider Name (Legal Business Name): SOLOMON P. LACHMAN, LCSW, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2009
Last Update Date: 09/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 MANCHESTER DR
SPRING VALLEY NY
10977-2014
US

IV. Provider business mailing address

5 MANCHESTER DR
SPRING VALLEY NY
10977-2014
US

V. Phone/Fax

Practice location:
  • Phone: 845-362-4556
  • Fax: 888-428-4613
Mailing address:
  • Phone: 845-362-4556
  • Fax: 888-428-4613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code102X00000X
TaxonomyPoetry Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. SOLOMON PERETZ LACHMAN
Title or Position: PRESIDENT
Credential: LCSW
Phone: 845-362-4556