MEDICARE: MS. MIRIAM STEMPLER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	R043270-1	NY

General Provider Information

NPI Number	:	1164551578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MIRIAM STEMPLER LCSW

Provider Business Mailing Address
First Line	:	451 E 14TH ST APT 5C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10009-2815
Country	:	US
Telephone Number	:	917-572-4069
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 RECTOR PL APT 10D
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10280-1122
Country	:	US
Telephone Number	:	212-945-2541
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	06/10/2021

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