Luis O Alayon, LCSW ACSW BCD

Individual provider Active NPI Clinical Social Worker · Jackson Heights, NY

NPI 1013137124 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1013137124
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
R023950 (NY)
Practice address
3415 77TH St
Jackson Heights, NY 11372
Phone
(718) 446-7286
NPI assigned
Apr 30, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
023950NYMDPsychologist
R023950NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pesach Tikvah Hope Development Inc Past Accepting new patients
Alayon Counseling Services CSW PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R023950 NY Yes

Addresses

Primary practice location

3415 77TH St
Jackson Heights, NY 11372

Mailing address

8429 153Rd Ave
Apt 6M
Howard Beach, NY 11414
Phone (516) 551-1733

Other providers in Jackson Heights, NY

All providers in Jackson Heights, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.