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NPI Code Detail

MEDICARE: MR. STEPHEN YALE LANDE LCSW, LMSW, CASAC

MEDICARE:  MR. STEPHEN YALE LANDE  LCSW, LMSW, CASAC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor26524NY
2104100000XSocial Worker096918NY
31041C0700XClinical Social Worker089731NY

General Provider Information

NPI Number : 1477909737
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEPHEN YALE LANDE LCSW, LMSW, CASAC
Provider Business Mailing Address
First Line : 1420 STEBBINS AVE
Second Line :
City : BRONX
State : NY
Zip : 10459-4589
Country : US
Telephone Number : 718-299-3045
Fax Number : 718-731-8442
Provider Business Practice Location Address
First Line : 1420 STEBBINS AVE
Second Line :
City : BRONX
State : NY
Zip : 10459-4589
Country : US
Telephone Number : 718-299-3045
Fax Number : 718-731-8442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2016
Last Update Date : 02/26/2026

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Directions to “ MR. STEPHEN YALE LANDE LCSW, LMSW, CASAC” Practice Location

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