Provider Demographics
NPI:1992963102
Name:FAERSTEIN, LESLIE MORRISON (EDD,LCSW)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:MORRISON
Last Name:FAERSTEIN
Suffix:
Gender:F
Credentials:EDD,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 E 20TH ST
Mailing Address - Street 2:SUITE 4AB
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-1805
Mailing Address - Country:US
Mailing Address - Phone:212-228-2910
Mailing Address - Fax:212-673-4746
Practice Address - Street 1:237 E 20TH ST
Practice Address - Street 2:SUITE 4AB
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-1805
Practice Address - Country:US
Practice Address - Phone:212-228-2910
Practice Address - Fax:212-673-4746
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-26
Last Update Date:2008-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0152071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical