Tessa Vining, LCSW

NPI 1023261328 · on the registry since 2008 · sole proprietor

Practice

Address: 164 W 74th St
New York, NY 10023
Phone: (646) 505-2175
Fax: (646) 505-2191
Organisation at this address: Phoenix House Foundation
Phoenix House Foundation, Inc.
Phoenix Houses Of New York, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 104100000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-12-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York