Provider Demographics
NPI:1477783793
Name:LLAMAS, URSULA (LMSW)
Entity Type:Individual
Prefix:
First Name:URSULA
Middle Name:
Last Name:LLAMAS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2089 3RD AVE
Mailing Address - Street 2:JWJ COUNSELING CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-2117
Mailing Address - Country:US
Mailing Address - Phone:212-828-6144
Mailing Address - Fax:
Practice Address - Street 1:2089 3RD AVE
Practice Address - Street 2:JWJ COUNSELING CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-2117
Practice Address - Country:US
Practice Address - Phone:212-828-6144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0527091041C0700X
NY730806081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical