Provider Demographics
NPI:1154743474
Name:DE ARMAS, ANN (CSW)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:DE ARMAS
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500A E 87TH ST
Mailing Address - Street 2:APT.7B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-7650
Mailing Address - Country:US
Mailing Address - Phone:212-628-3039
Mailing Address - Fax:
Practice Address - Street 1:500A E 87TH ST
Practice Address - Street 2:APT.7B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-7650
Practice Address - Country:US
Practice Address - Phone:212-628-3039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-07
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLO31576-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY$$$$$$$$$OtherMEDICARE IDENTIFICATION NUMBER