NPI Code Details Logo

NPI 1225101066

NPI 1225101066 : PAULA J. HELLER LCSW, BCD : SLEEPY HOLLOW, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1225101066
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    PAULA J. HELLER LCSW, BCD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/17/2006
-----------------------------------------------------
    Last Update Date     |    07/08/2007
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    239 N BROADWAY 
-----------------------------------------------------
    City                 |    SLEEPY HOLLOW
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10591-2674
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    914-582-7595
-----------------------------------------------------
    Fax                  |    914-332-1224
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    21 GLEN HILL LN 
-----------------------------------------------------
    City                 |    TARRYTOWN
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10591-5055
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    914-332-1223
-----------------------------------------------------
    Fax                  |    914-332-1224
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    RO26377-3
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.