Provider Demographics
NPI:1386781961
Name:MAGDOFF, JOANN M (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:JOANN
Middle Name:M
Last Name:MAGDOFF
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 E 65TH ST
Mailing Address - Street 2:SUITE 1AB
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-6527
Mailing Address - Country:US
Mailing Address - Phone:212-744-0225
Mailing Address - Fax:212-570-1077
Practice Address - Street 1:3 E 65TH ST
Practice Address - Street 2:SUITE 1AB
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-6527
Practice Address - Country:US
Practice Address - Phone:212-744-0225
Practice Address - Fax:212-570-1077
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY070488-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical