Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Charles Eisenberg, LCSW-R

Individual provider Clinical Social Worker · NPI 1659759892

Mr. Charles Eisenberg, LCSW-R is a Clinical Social Worker in Coram, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

141 Birchwood Rd
Coram, NY 11727-3675
Phone: (212) 268-0226
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 036633 (NY)

Record details

NPI number1659759892
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedMay 7, 2015
Last updated in NPPESFebruary 17, 2016

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