Active NPIIndividual providerSole proprietor

Mr. Carl Eden, R-LCSW

Social Worker, Clinical in Jackson Heights, New York

NPI Number1275835704
Practice location
3441 78TH St, 1-I, Jackson Heights, NY 11372-2571
Fax
—
Last updated
January 4, 2011

Carl Eden is a Social Worker, Clinical based in Jackson Heights, NY. Carl Eden practices in Jackson Heights, NY and has the professional credentials of R-LCSW. The NPI Number for Carl Eden is 1275835704 and holds a License No. RO33051-1 (NY). The current practice location address for Carl Eden is 3441 78TH St, 1-I, Jackson Heights, NY 11372-2571 and can be reached out via phone at 718-898-8918.

Provider Profile Details

NPI Number
1275835704
Provider Name
Carl Eden
Credential
R-LCSW
Provider Entity Type
Individual
Gender
Male
Address
3441 78TH St, 1-I, Jackson Heights, NY 11372-2571
Phone Number
718-898-8918
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 5, 2010
Last Update Date
January 4, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
3441 78TH St
1-I
Jackson Heights, NY 11372-2571
Zip
11372-2571
Phone Number
718-898-8918
Jackson Heights, NY 11372Get directions →

Provider Business Mailing Address Details

Address
Po Box 305
Village Station
New York, NY 10014-0305
City
New York
State
NY
Zip
10014-0305

License Information

License Number
RO33051-1
License State
NY
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Carl Eden, R-LCSW?

The NPI number of Mr. Carl Eden, R-LCSW is 1275835704. It was assigned on December 5, 2010 and is currently active in the NPPES registry.

What is the specialty of Mr. Carl Eden, R-LCSW?

Mr. Carl Eden, R-LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number RO33051-1.

Where does Mr. Carl Eden, R-LCSW practice?

The practice location is 3441 78TH St, 1-I, Jackson Heights, NY 11372-2571. The office can be reached at 718-898-8918 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275835704 directly on the NPPES registry website.

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