MEDICARE: MRS. PAIGE SOLEIMANI 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	104100000X	Social Worker	103862	NY
2	1041C0700X	Clinical Social Worker		NY

General Provider Information

NPI Number	:	1780367136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PAIGE SOLEIMANI LCSW

Provider Business Mailing Address
First Line	:	1133 WESTCHESTER AVE STE N-006
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10604-3550
Country	:	US
Telephone Number	:	914-898-3891
Fax Number	:

Provider Business Practice Location Address
First Line	:	1133 WESTCHESTER AVE STE N-006
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10604-3550
Country	:	US
Telephone Number	:	914-898-3891
Fax Number	:

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

Provider Enumeration Date	:	08/11/2023
Last Update Date	:	06/20/2024

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