Provider Demographics
NPI:1477161883
Name:MIKHLI, TZVIA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:TZVIA
Middle Name:
Last Name:MIKHLI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MR
Other - First Name:TZVIA
Other - Middle Name:
Other - Last Name:HERBST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:1247 E 13TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4805
Mailing Address - Country:US
Mailing Address - Phone:718-336-1794
Mailing Address - Fax:
Practice Address - Street 1:1955 MCDONALD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-1805
Practice Address - Country:US
Practice Address - Phone:718-787-1600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPENDING104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker