Goldie Dersh, LCSW, PhD
Social Worker, Clinical in New York, NY. Individual provider (NPI-1).
NPI number1154413698
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154413698
- Entity type
- Individual (NPI-1)
- Name
- Goldie Dersh
- Credential
- LCSW, PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 29, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | R007025 | NY | Yes |
Practice location
15 West 65 StreetNew York, NY 10023-6601
Phone 212-769-6345 · Fax 212-769-7869
Mailing address
15 West 65 StreetNew York, NY 10023-6601
Phone 212-769-6345 · Fax 212-769-7869
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