Mary Tate, LCSW
Social Worker, Clinical in New York, NY. Individual provider (NPI-1).
NPI number1427423391
StatusActive
Last updated in NPPESDec 14, 2021
Details
- NPI
- 1427423391
- Entity type
- Individual (NPI-1)
- Name
- Mary Tate
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 3, 2015
- Certification date
- Dec 14, 2021
- Last updated
- Dec 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 089401 | NY | Yes |
Practice location
116 W 23rd StFifth Floor
New York, NY 10011-2599
Phone 212-729-6034
Mailing address
116 W 23rd St Fl 5New York, NY 10011-2599
Phone 212-729-6034
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