Provider Demographics
NPI:1104130145
Name:PERLSTEIN, GITTY (LCSW)
Entity type:Individual
Prefix:
First Name:GITTY
Middle Name:
Last Name:PERLSTEIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 OCEAN PKWY
Mailing Address - Street 2:APT. 6H
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5154
Mailing Address - Country:US
Mailing Address - Phone:718-338-7257
Mailing Address - Fax:
Practice Address - Street 1:1225 OCEAN PKWY
Practice Address - Street 2:APT. 6H
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5154
Practice Address - Country:US
Practice Address - Phone:718-338-7257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY078247-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical