Provider Demographics
NPI:1699947648
Name:GILBERT, PAULA DIANE (LCSW)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:DIANE
Last Name:GILBERT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:PAULA
Other - Middle Name:ABELOVE
Other - Last Name:GILBERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:22 DARWIN AVENUE
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-1812
Mailing Address - Country:US
Mailing Address - Phone:914-478-0209
Mailing Address - Fax:914-478-0209
Practice Address - Street 1:22 DARWIN AVENUE
Practice Address - Street 2:
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-1812
Practice Address - Country:US
Practice Address - Phone:914-478-0209
Practice Address - Fax:914-478-0209
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY73051317R1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical