Provider Demographics
NPI:1225175300
Name:PIERRE, KAMINI KUMARI (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KAMINI
Middle Name:KUMARI
Last Name:PIERRE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KAMINI
Other - Middle Name:KUMARI
Other - Last Name:PERSAUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:20 ADLER PL
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-3115
Mailing Address - Country:US
Mailing Address - Phone:516-596-7273
Mailing Address - Fax:
Practice Address - Street 1:8956 162ND ST
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-5072
Practice Address - Country:US
Practice Address - Phone:718-657-7100
Practice Address - Fax:718-657-7137
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0657331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical