Provider Demographics
NPI:1407048812
Name:TAFEEN, ALI (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:ALI
Middle Name:
Last Name:TAFEEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 BROADHOLLOW RD STE 25
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-3645
Mailing Address - Country:US
Mailing Address - Phone:212-252-2748
Mailing Address - Fax:
Practice Address - Street 1:445 BROADHOLLOW RD STE 25
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-3645
Practice Address - Country:US
Practice Address - Phone:212-252-2748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072755-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical