Provider Demographics
NPI:1558959049
Name:HUSSEIN, MONA (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:MONA
Middle Name:
Last Name:HUSSEIN
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 1:60 BURNS PL
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-1318
Mailing Address - Country:US
Mailing Address - Phone:914-510-4135
Mailing Address - Fax:
Practice Address - Street 1:60 BURNS PL
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510-1318
Practice Address - Country:US
Practice Address - Phone:914-510-4135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-09
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY105659-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker