Individual
ANGELA PERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
217 HAVEMEYER ST, 4TH FLOOR, BROOKLYN, NY 11211-6277
(718) 963-4430
(718) 963-0814
Mailing address
145 W 15TH ST, 2ND FLOOR, NEW YORK, NY 10011-6701
(212) 924-6324
(212) 691-5635
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
039042
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040426033008
FIDELIS PROVIDER NUMBER
NY
Enumeration date
08/21/2006
Last updated
07/08/2007
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