Provider Demographics
NPI:1730373739
Name:LIEBERMAN, STEVEN S (LCSW)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:S
Last Name:LIEBERMAN
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 1:323 SUMMIT RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-1148
Mailing Address - Country:US
Mailing Address - Phone:718-376-2505
Mailing Address - Fax:718-228-3805
Practice Address - Street 1:1880 E 27TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2531
Practice Address - Country:US
Practice Address - Phone:866-458-8166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-02
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR056021-11041C0700X
NJ44SC052744001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP3587887OtherOXFORD HEALTH CARE