Provider Demographics
NPI:1972303782
Name:TALK LCSW PLLC
Entity type:Organization
Organization Name:TALK LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW/CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PFLUMM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:631-617-7532
Mailing Address - Street 1:101 JACKIE CT
Mailing Address - Street 2:
Mailing Address - City:PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-3395
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 JACKIE CT
Practice Address - Street 2:
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-3395
Practice Address - Country:US
Practice Address - Phone:631-617-7532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty