Provider Demographics
NPI:1487792479
Name:SOBEL, PAULA H (LCSW CLINICAL SOCIAL)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:H
Last Name:SOBEL
Suffix:
Gender:F
Credentials:LCSW CLINICAL SOCIAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:625 MAIN ST
Mailing Address - Street 2:APT 1032 ROOSEVELT ISLAND
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10044
Mailing Address - Country:US
Mailing Address - Phone:212-319-4351
Mailing Address - Fax:212-848-6020
Practice Address - Street 1:625 MAIN ST
Practice Address - Street 2:APT 1032 ROOSEVELT ISLAND
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10044
Practice Address - Country:US
Practice Address - Phone:212-319-4351
Practice Address - Fax:212-848-6020
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYSWR01998611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
05036654OtherUNITED HEALTH CARE
158583OtherVALUE OPTIONS
N2R66OtherEMPIRE BLUE CROSS
P2571390OtherOXFORD
088961OtherAETNA
7484572OtherGHI
1057520OtherBEACON