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NPI Code Detail

MEDICARE: KATE ENGSTROM LCSW PLLC

MEDICARE: KATE ENGSTROM LCSW PLLC
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1639709611
Entity Type Code : Organization
Provider Name (Legal Business Name) : KATE ENGSTROM LCSW PLLC
Provider Business Mailing Address
First Line : 159 BLEECKER ST FL 2
Second Line :
City : NEW YORK
State : NY
Zip : 10012-1457
Country : US
Telephone Number : 917-991-5437
Fax Number :
Provider Business Practice Location Address
First Line : 159 BLEECKER ST FL 2
Second Line :
City : NEW YORK
State : NY
Zip : 10012-1457
Country : US
Telephone Number : 917-991-5437
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : KATE ENGSTROM
Credential : LCSW
Telephone Number : 917-991-5437
Provider Enumeration Date : 01/18/2020
Last Update Date : 01/18/2020

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Directions to “KATE ENGSTROM LCSW PLLC ” Practice Location

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