Provider Demographics
NPI:1366740789
Name:CUEVAS, JANET-MICHELLE MAE (LCSW)
Entity type:Individual
Prefix:
First Name:JANET-MICHELLE
Middle Name:MAE
Last Name:CUEVAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:264 WOODLANDS DR
Mailing Address - Street 2:
Mailing Address - City:TUXEDO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:10987-4818
Mailing Address - Country:US
Mailing Address - Phone:917-744-0607
Mailing Address - Fax:914-467-7801
Practice Address - Street 1:520 WHITE PLAINS ROAD
Practice Address - Street 2:SUITE 500 (FIFTH FLOOR)
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5118
Practice Address - Country:US
Practice Address - Phone:917-744-0607
Practice Address - Fax:914-467-7801
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-09
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0834101041C0700X
NY083344-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical