Provider Demographics
NPI:1215151287
Name:HERLANDS, NEIL (MSW)
Entity type:Individual
Prefix:MR
First Name:NEIL
Middle Name:
Last Name:HERLANDS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:MR
Other - First Name:NEIL
Other - Middle Name:S
Other - Last Name:HERLANDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CSW
Mailing Address - Street 1:49 W 96TH ST
Mailing Address - Street 2:3B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6522
Mailing Address - Country:US
Mailing Address - Phone:212-222-7843
Mailing Address - Fax:212-222-7843
Practice Address - Street 1:27 W 9TH ST
Practice Address - Street 2:1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8945
Practice Address - Country:US
Practice Address - Phone:212-222-7843
Practice Address - Fax:212-222-7843
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR043877-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical