MEDICARE: CLAIRE A KLAUSEN LMSW

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	070720-1	NY

General Provider Information

NPI Number	:	1932239068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE A KLAUSEN LMSW

Provider Business Mailing Address
First Line	:	242 E 80TH ST
Second Line	:	#5E
City	:	NEW YORK
State	:	NY
Zip	:	10021-0554
Country	:	US
Telephone Number	:	212-794-8665
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 W 21ST ST
Second Line	:	10TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10010-6904
Country	:	US
Telephone Number	:	212-627-8181
Fax Number	:

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

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	07/08/2007

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Directions to “ CLAIRE A KLAUSEN LMSW” Practice Location

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