Individual
ALICIA KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
02249154
NY
104100000X
Social Worker
Primary
101239
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00635098
—
NY
Enumeration date
11/06/2015
Last updated
03/17/2018
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