Provider Demographics
NPI:1558420273
Name:YOUNG SCIPIO, HALIMA ATIYA (MSW)
Entity Type:Individual
Prefix:
First Name:HALIMA
Middle Name:ATIYA
Last Name:YOUNG SCIPIO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:HALIMA
Other - Middle Name:
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16 SOUTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-4542
Mailing Address - Country:US
Mailing Address - Phone:413-464-0123
Mailing Address - Fax:
Practice Address - Street 1:251 FENN ST
Practice Address - Street 2:BRIEN CENTER
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-5269
Practice Address - Country:US
Practice Address - Phone:413-496-9671
Practice Address - Fax:413-445-6242
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0703261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical