Healthcare Provider Details

I. General information

NPI: 1194291773
Provider Name (Legal Business Name): LAGER LCSW, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2018
Last Update Date: 10/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 WANTAGH AVENUE
WANTAGH NY
11793-2210
US

IV. Provider business mailing address

1008 BARRIE AVE
WANTAGH NY
11793-1704
US

V. Phone/Fax

Practice location:
  • Phone: 516-221-2123
  • Fax: 516-221-2124
Mailing address:
  • Phone: 631-793-5060
  • 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: ALISON LAGER SCHIRMER
Title or Position: PRESIDENT
Credential: LCSW, CASAC
Phone: 631-793-5060