Basic Information
Provider Information | |||||||||
NPI: | 1235680281 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | LEHRFELD | ||||||||
FirstName: | NAYLA | ||||||||
MiddleName: | PAMELA | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | LCSW | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | SCARAMELLO | ||||||||
OtherFirstName: | NAYLA | ||||||||
OtherMiddleName: | PAMELA | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: | 1 | ||||||||
Mailing Information | |||||||||
Address1: | 145 W 15TH ST FL 2 | ||||||||
Address2: |   | ||||||||
City: | NEW YORK | ||||||||
State: | NY | ||||||||
PostalCode: | 100116701 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 2129246320 | ||||||||
FaxNumber: | 6463060513 | ||||||||
Practice Location | |||||||||
Address1: | 145 W 15TH ST FL 5 | ||||||||
Address2: |   | ||||||||
City: | NEW YORK | ||||||||
State: | NY | ||||||||
PostalCode: | 100116701 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 2122296905 | ||||||||
FaxNumber: | 6464774094 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 10/14/2016 | ||||||||
LastUpdateDate: | 01/03/2020 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 01/03/2020 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 098744-1 | NY | N |   | Behavioral Health & Social Service Providers | Social Worker |   | 1041C0700X | 089153 | NY | Y |   | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.