Provider Demographics
NPI:1053906867
Name:WEINBERG, ALAN (LCSW)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:
Last Name:WEINBERG
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6353 HARING ST APT 604
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2807
Mailing Address - Country:US
Mailing Address - Phone:718-896-5837
Mailing Address - Fax:
Practice Address - Street 1:6353 HARING ST APT 604
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2807
Practice Address - Country:US
Practice Address - Phone:718-896-5837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072628-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical