Provider Demographics
NPI:1992988786
Name:PERKINS, DAVID WESLEY (LCSW)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:WESLEY
Last Name:PERKINS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 EAST 63RD STREET, APT E9J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065
Mailing Address - Country:US
Mailing Address - Phone:718-909-0592
Mailing Address - Fax:855-862-5403
Practice Address - Street 1:49 WEST 24TH STREET, SUITE 606
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:718-909-0592
Practice Address - Fax:855-862-5403
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-14
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0792071041C0700X
NY07920711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical