Provider Demographics
NPI:1528124658
Name:SAINE, LOUANN (LCSW)
Entity type:Individual
Prefix:
First Name:LOUANN
Middle Name:
Last Name:SAINE
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 1:56 HICKORY HILL RD
Mailing Address - Street 2:
Mailing Address - City:TAPPAN
Mailing Address - State:NY
Mailing Address - Zip Code:10983-1804
Mailing Address - Country:US
Mailing Address - Phone:845-359-6442
Mailing Address - Fax:845-365-0365
Practice Address - Street 1:56 HICKORY HILL RD
Practice Address - Street 2:
Practice Address - City:TAPPAN
Practice Address - State:NY
Practice Address - Zip Code:10983-1804
Practice Address - Country:US
Practice Address - Phone:845-359-6442
Practice Address - Fax:845-365-0365
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0411071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR041107OtherNEW YORK STATE LICENSE