Provider Demographics
NPI:1710720750
Name:AXELMAN, HOWARD STEVEN (LCSW)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:STEVEN
Last Name:AXELMAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:STEVEN
Other - Middle Name:
Other - Last Name:AXELMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:16623 21ST AVE
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-4003
Mailing Address - Country:US
Mailing Address - Phone:718-208-5059
Mailing Address - Fax:
Practice Address - Street 1:16623 21ST AVE
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-4003
Practice Address - Country:US
Practice Address - Phone:718-208-5059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0697511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical