Provider Demographics
NPI:1275776247
Name:ALLOUCHE, CELIA KIM (LCSW)
Entity Type:Individual
Prefix:
First Name:CELIA
Middle Name:KIM
Last Name:ALLOUCHE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KIM
Other - Middle Name:SUTTON
Other - Last Name:ALLOUCHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3385 BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4548
Mailing Address - Country:US
Mailing Address - Phone:646-275-0425
Mailing Address - Fax:212-966-4295
Practice Address - Street 1:3385 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-4548
Practice Address - Country:US
Practice Address - Phone:646-275-0425
Practice Address - Fax:212-966-4295
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0718141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical