Provider Demographics
NPI:1427265693
Name:WEISBERGER, HESTHER (LCSW)
Entity type:Individual
Prefix:MS
First Name:HESTHER
Middle Name:
Last Name:WEISBERGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:LILLIAN
Other - Middle Name:
Other - Last Name:WEISBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:337 E 5TH ST
Mailing Address - Street 2:APARTMENT 2FE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-8835
Mailing Address - Country:US
Mailing Address - Phone:212-477-3836
Mailing Address - Fax:
Practice Address - Street 1:103 ST. MARK'S PLACE
Practice Address - Street 2:THE ARBOR CENTER, SUITE A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-5156
Practice Address - Country:US
Practice Address - Phone:212-614-9600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0416251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR041625OtherLCSW