Provider Demographics
NPI:1568831568
Name:LUX WORKS GROUP, LLC
Entity type:Organization
Organization Name:LUX WORKS GROUP, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALISA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, MA
Authorized Official - Phone:917-663-6536
Mailing Address - Street 1:17 WEST 9TH STREET
Mailing Address - Street 2:SUITE 3
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8936
Mailing Address - Country:US
Mailing Address - Phone:917-663-6536
Mailing Address - Fax:
Practice Address - Street 1:309 LAFAYETTE AVE
Practice Address - Street 2:SUITE 13C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-1240
Practice Address - Country:US
Practice Address - Phone:917-663-6536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-20
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty