Provider Demographics
NPI:1316162092
Name:KUTIS, BETH (LCSWR)
Entity type:Individual
Prefix:MS
First Name:BETH
Middle Name:
Last Name:KUTIS
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 GREENWICH ST
Mailing Address - Street 2:#4B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-3386
Mailing Address - Country:US
Mailing Address - Phone:212-349-5771
Mailing Address - Fax:
Practice Address - Street 1:311 GREENWICH ST
Practice Address - Street 2:#4B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-3386
Practice Address - Country:US
Practice Address - Phone:212-349-5771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0168111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical