Provider Demographics
NPI:1861549073
Name:BAYER, GALE B (LCSW)
Entity type:Individual
Prefix:
First Name:GALE
Middle Name:B
Last Name:BAYER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 KEAR ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4425
Mailing Address - Country:US
Mailing Address - Phone:914-962-2002
Mailing Address - Fax:914-962-0618
Practice Address - Street 1:345 KEAR ST
Practice Address - Street 2:SUITE 202
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4425
Practice Address - Country:US
Practice Address - Phone:914-962-2002
Practice Address - Fax:914-962-0618
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0377901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01411343Medicaid
NYA300019623OtherMEDICARE PTAN