Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | 081753 | NY |
Y | 1041C0700X | Clinical Social Worker | 082850 | NY |
NPI | 1003108911 |
---|---|
Provider Name | Dr. Luise K Weinrich |
First Address | New York, NY 10011-8002 |
Second Address | New York, NY 10011-8002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2011 |
Last Update Date | 31/01/2015 |