Provider Demographics
NPI:1215084272
Name:FIGUEROA, VENUS MARIE (LCSW-R)
Entity type:Individual
Prefix:MRS
First Name:VENUS
Middle Name:MARIE
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14-22 ASTORIA PARK SOUTH
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102
Mailing Address - Country:US
Mailing Address - Phone:718-728-0586
Mailing Address - Fax:
Practice Address - Street 1:14-22 ASTORIA PARK SOUTH
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102
Practice Address - Country:US
Practice Address - Phone:718-728-0586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR059100-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical