Provider Demographics
NPI:1386895993
Name:KAMNITZER, DAVID SCOTT (LCSW)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:SCOTT
Last Name:KAMNITZER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 ALBANY ST APT 5L
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10280-1412
Mailing Address - Country:US
Mailing Address - Phone:646-454-0153
Mailing Address - Fax:
Practice Address - Street 1:50 NEVINS ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-1004
Practice Address - Country:US
Practice Address - Phone:718-855-4035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0436731104100000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No251S00000XAgenciesCommunity/Behavioral Health