Provider Demographics
NPI:1740817832
Name:MEAD COUNSELING LCSW PLLC
Entity type:Organization
Organization Name:MEAD COUNSELING LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:STRZEPA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:516-395-6465
Mailing Address - Street 1:240 ROCKAWAY TPKE
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1818
Mailing Address - Country:US
Mailing Address - Phone:516-415-0648
Mailing Address - Fax:
Practice Address - Street 1:240 ROCKAWAY TPKE
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-1818
Practice Address - Country:US
Practice Address - Phone:516-415-0648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-26
Last Update Date:2025-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03789195Medicaid
NY06442295Medicaid