Provider Demographics
NPI:1144978883
Name:LIFF, DAREN (LCSW)
Entity type:Individual
Prefix:MR
First Name:DAREN
Middle Name:
Last Name:LIFF
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 1:181 E 101ST ST APT 705
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6368
Mailing Address - Country:US
Mailing Address - Phone:559-283-4517
Mailing Address - Fax:
Practice Address - Street 1:30 E 20TH ST STE 5F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-1310
Practice Address - Country:US
Practice Address - Phone:845-661-8002
Practice Address - Fax:845-628-2777
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-11
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0968631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical