Provider Demographics
NPI:1366749145
Name:TREGERMAN, MAAYAN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MAAYAN
Middle Name:
Last Name:TREGERMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MAAYAN
Other - Middle Name:
Other - Last Name:SHEMESH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:7 W 30TH ST
Mailing Address - Street 2:11TH FLOOR; SUITE #2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-4406
Mailing Address - Country:US
Mailing Address - Phone:212-228-8522
Mailing Address - Fax:212-792-6058
Practice Address - Street 1:7 W 30TH ST
Practice Address - Street 2:11TH FLOOR; SUITE #2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-4406
Practice Address - Country:US
Practice Address - Phone:212-228-8522
Practice Address - Fax:212-792-6058
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-14
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0824291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical