Provider Demographics
NPI:1487690301
Name:NORTH SHORE COUNSELING AND LCSW SERVICES PC
Entity type:Organization
Organization Name:NORTH SHORE COUNSELING AND LCSW SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SERPER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:516-626-6246
Mailing Address - Street 1:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-0151
Mailing Address - Country:US
Mailing Address - Phone:516-626-6246
Mailing Address - Fax:516-626-6246
Practice Address - Street 1:5 PASTURE LN
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-2609
Practice Address - Country:US
Practice Address - Phone:516-626-6246
Practice Address - Fax:516-626-6246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0527351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty