Provider Demographics
NPI:1215061700
Name:CIKVASVILI, ESTHER ETTY (LCSW)
Entity type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:ETTY
Last Name:CIKVASVILI
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 1:888 8TH AVE
Mailing Address - Street 2:#9P
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:212-246-7832
Mailing Address - Fax:212-246-7832
Practice Address - Street 1:888 8TH AVE
Practice Address - Street 2:#9P
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-246-7832
Practice Address - Fax:212-246-7832
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR03638511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical