Provider Demographics
NPI:1982880985
Name:MALONEY, BEATRICE A (LCSW)
Entity type:Individual
Prefix:MS
First Name:BEATRICE
Middle Name:A
Last Name:MALONEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 E 20TH ST
Mailing Address - Street 2:APT. 3B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-1509
Mailing Address - Country:US
Mailing Address - Phone:212-420-5659
Mailing Address - Fax:
Practice Address - Street 1:626 E 20TH ST
Practice Address - Street 2:APT. 3B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-1509
Practice Address - Country:US
Practice Address - Phone:212-420-5659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-21
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO43802-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical