Provider Demographics
NPI:1285773481
Name:JANET S KASIMIS LCSW PC
Entity type:Organization
Organization Name:JANET S KASIMIS LCSW PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:KASIMIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:212-473-6709
Mailing Address - Street 1:242 EAST 19 STREET
Mailing Address - Street 2:APT 12B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2637
Mailing Address - Country:US
Mailing Address - Phone:212-473-6709
Mailing Address - Fax:212-505-9049
Practice Address - Street 1:242 EAST 19 STREET
Practice Address - Street 2:DOCTORS OFFICE #2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2637
Practice Address - Country:US
Practice Address - Phone:212-473-6709
Practice Address - Fax:212-505-9049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0163811104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN42511Medicare ID - Type Unspecified