Provider Demographics
NPI:1598509929
Name:CERVANTES AGUILAR, NANCY PAOLA (LMSW)
Entity type:Individual
Prefix:MISS
First Name:NANCY
Middle Name:PAOLA
Last Name:CERVANTES AGUILAR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 WILLIAM ST APT 3L
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-4684
Mailing Address - Country:US
Mailing Address - Phone:914-462-9554
Mailing Address - Fax:
Practice Address - Street 1:221 WILLIAM ST APT 3L
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-4684
Practice Address - Country:US
Practice Address - Phone:914-462-9554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY123631104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker