Provider Demographics
NPI:1205215340
Name:NASSI, SHIRIN (LMSW)
Entity Type:Individual
Prefix:
First Name:SHIRIN
Middle Name:
Last Name:NASSI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E 18TH ST
Mailing Address - Street 2:APARTMENT 10P
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2444
Mailing Address - Country:US
Mailing Address - Phone:516-993-5453
Mailing Address - Fax:
Practice Address - Street 1:150 E 18TH ST
Practice Address - Street 2:APARTMENT 10P
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2444
Practice Address - Country:US
Practice Address - Phone:516-993-5453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-21
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY093994104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker