Provider Demographics
NPI:1992962617
Name:FARBER, LIRONE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LIRONE
Middle Name:
Last Name:FARBER
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 1:119 W 57TH ST
Mailing Address - Street 2:SUITE 516
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-2303
Mailing Address - Country:US
Mailing Address - Phone:917-364-4075
Mailing Address - Fax:212-969-1898
Practice Address - Street 1:274 1ST AVE
Practice Address - Street 2:APARTMENT 7C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-1809
Practice Address - Country:US
Practice Address - Phone:917-282-3775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0630171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical