| NPI | 1205257417 |
|---|---|
| Doing Business As | AFFECTIVE LCSW SERVICES |
| Entity Type | Organization |
| Authorized Contact | DELSA JOHNSON FAUCONIER President/CEO 347-788-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 075416) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 083062) |
| 104100000X Social Worker (Licence: NY 087435) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2021-08-18 |