MR. ALAN ETHAN DEZEN


Address: 8 Gramercy Park S, Suite 2j, New York, NY 10003-1718
Phone: 2128772700

MR. ALAN ETHAN DEZEN (NPI# 1134334188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134334188
Entity Type Individual
Full Name MR. ALAN ETHAN DEZEN
Credential LCSWR
Practice Address 8 Gramercy Park S
Suite 2j
New York
NY 10003-1718
Mailing Address 3 Moller St
Tenafly
NJ 07670-2019
Practice Telephone 2128772700
Mailing Telephone 2128772700
Enumeration Date 2007-05-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1041C0700X Social Worker
Specialization: Clinical
CWO12697 PA Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
R068622 NY Behavioral Health & Social Service Providers

Office Location

Street Address 8 GRAMERCY PARK S
SUITE 2J
City NEW YORK
State NY
Zip Code 10003-1718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457392979 Patrick J Suraci Psychologist 8 Gramercy Park S, Apt 4b, New York, NY 10003-1718 2006-06-08
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1598107229 Laurie S Litwin, Dds, Pllc Dentist 8 Gramercy Park S, Suite #1b, New York, NY 10003-1718 2013-07-23
1467622191 Christine L Yoon Dentist 8 Gramercy Park S, Suite 1b, New York, NY 10003-1718 2008-03-10
1205041019 Frederic T Jaffee Psychologist 8 Gramercy Park S, Suite 2j, New York, NY 10003-1718 2007-05-14
1083832505 Arthur A. Gray Psychologist 8 Gramercy Park S, Suite 2j, New York, NY 10003-1718 2007-04-22
1790804573 James J Simring Dentist 8 Gramercy Park S, #1a, New York, NY 10003-1718 2007-03-29
1821156522 Jane H Fixman Psychologist 8 Gramercy Park S, 2j, New York, NY 10003-1718 2006-12-05

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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

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1346849676 Marlene St. Vil Darbouze Social Worker 156 W 119th St Apt 1, New York, NY 10026-1354 2020-10-19
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Competitor

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City NEW YORK
Zip Code 10003

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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