Provider Demographics
NPI:1366684136
Name:NAHWUEH, ANTHEA (MSW)
Entity Type:Individual
Prefix:
First Name:ANTHEA
Middle Name:
Last Name:NAHWUEH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 MACDOUGAL ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-2607
Mailing Address - Country:US
Mailing Address - Phone:651-332-6346
Mailing Address - Fax:
Practice Address - Street 1:117 MACDOUGAL ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-2607
Practice Address - Country:US
Practice Address - Phone:651-332-6346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP692821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical