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General NPI Number Information
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NPI Number | 1861933384
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Entity Type | Organization
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Legal Business Name | BROOKLYN LCSW THERAPY PLLC
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Dates
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Enumeration Date | 03/16/2017
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Last Update Date | 03/16/2017
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Provider Practice Location Address
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Address Line | 1580 E 18TH STREET UNIT LD
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City | BROOKLYN
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State | NY
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Zip | 11230
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Country | US
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Telephone | 646-404-4837
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Fax |
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Provider Business Mailing Address
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Address Line | 1442 E 15TH ST
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City | BROOKLYN
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State | NY
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Zip | 11230-6602
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Country | US
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Telephone | 646-404-4837
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MR. DAVID K KATZENSTEIN
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Credential | LCSW-R
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Telephone | 646-404-4837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 081098
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License Number State | NY
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