Provider Demographics
NPI:1407452204
Name:NAGUIB, NERMEEN NASER (MA, MS, LPC)
Entity Type:Individual
Prefix:
First Name:NERMEEN
Middle Name:NASER
Last Name:NAGUIB
Suffix:
Gender:F
Credentials:MA, MS, LPC
Other - Prefix:
Other - First Name:NERMEEN
Other - Middle Name:NASER
Other - Last Name:BUSHRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:15 TUSCARORA DR
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-4051
Mailing Address - Country:US
Mailing Address - Phone:914-354-7286
Mailing Address - Fax:
Practice Address - Street 1:15 TUSCARORA DR
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4051
Practice Address - Country:US
Practice Address - Phone:914-354-7286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-07
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4702101Y00000X, 101YA0400X, 101YP2500X, 106H00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT4702OtherCT STATE BOARD FOR LICENSED PROFESSIONAL COUNSELORS