Provider Demographics
NPI:1902674898
Name:TEPFER, ESTHER GOLDA (LMSW)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:GOLDA
Last Name:TEPFER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14732 68TH DR
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-2060
Mailing Address - Country:US
Mailing Address - Phone:347-693-9027
Mailing Address - Fax:
Practice Address - Street 1:14732 68TH DR
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-2060
Practice Address - Country:US
Practice Address - Phone:347-693-9027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-19
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP020351104100000X
NY122152104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY122152OtherNEW YORK SOCIAL WORK BOARD