Provider Demographics
NPI:1679602304
Name:KAUFMAN,, JANET H (LCSW-R)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:H
Last Name:KAUFMAN,
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 E 16TH ST
Mailing Address - Street 2:10C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3506
Mailing Address - Country:US
Mailing Address - Phone:917-602-1220
Mailing Address - Fax:
Practice Address - Street 1:142 E 16TH ST
Practice Address - Street 2:10C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3506
Practice Address - Country:US
Practice Address - Phone:917-602-1220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR05910811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical