Provider Demographics
NPI:1225796972
Name:MILLIEN, DJAMILA Y (LMSW)
Entity Type:Individual
Prefix:
First Name:DJAMILA
Middle Name:Y
Last Name:MILLIEN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:DJAMILA
Other - Middle Name:Y
Other - Last Name:MILLIEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:1623 KINGS HIGHWAY, BROOKLYN, NY 11229
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229
Mailing Address - Country:US
Mailing Address - Phone:718-954-3800
Mailing Address - Fax:
Practice Address - Street 1:1623 KINGS HIGHWAY, BROOKLYN, NY 11229
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1122
Practice Address - Country:US
Practice Address - Phone:718-954-3800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY111467-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker