NPI Code Details Logo

NPI 1649493719

NPI 1649493719 : CLARINDA WERTS MA : BROOKLYN, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1649493719
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CLARINDA WERTS MA
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/10/2007
-----------------------------------------------------
    Last Update Date     |    07/08/2007
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1463 FLATBUSH AVE 
-----------------------------------------------------
    City                 |    BROOKLYN
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11210-2428
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    718-951-9009
-----------------------------------------------------
    Fax                  |    718-951-9719
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    65 EDWARDS ST 
-----------------------------------------------------
    City                 |    ROSLYN HEIGHTS
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11577-1100
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    516-484-4498
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

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

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    104100000X
-----------------------------------------------------
    Taxonomy Name        |    Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

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