Alice Maria Wheatley-Street, LCSW
Social Worker, Clinical in Bronx, NY. Individual provider (NPI-1).
NPI number1245304591
StatusActive
Last updated in NPPESOct 7, 2009
Details
- NPI
- 1245304591
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Alice Maria Wheatley-Street
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2006
- Last updated
- Oct 7, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | po25610-1 | NY | Yes |
Practice location
7 W Burnside Ave3rd Floor
Bronx, NY 10453-4003
Phone 718-561-4340 · Fax 718-220-1938
Mailing address
750 Astor AveBronx, NY 10467-9304
Phone 718-882-5000 · Fax 718-798-7633
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