Provider Demographics
NPI:1215103478
Name:CASTRO, NORA EVELYN (LCSW)
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:EVELYN
Last Name:CASTRO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:NORA
Other - Middle Name:EVELYN
Other - Last Name:CASTRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:465 GRAND ST
Mailing Address - Street 2:C.A.R.E.S. INC
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-4800
Mailing Address - Country:US
Mailing Address - Phone:646-676-2168
Mailing Address - Fax:
Practice Address - Street 1:465 GRAND ST
Practice Address - Street 2:C.A.R.E.S. INC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-4800
Practice Address - Country:US
Practice Address - Phone:646-676-2168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY070371104100000X
NY0807701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker