Provider Demographics
NPI:1639471980
Name:WITHIM, ALMA E (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:ALMA
Middle Name:E
Last Name:WITHIM
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1276 FULTON AVE RM 208
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-3402
Mailing Address - Country:US
Mailing Address - Phone:718-901-8918
Mailing Address - Fax:
Practice Address - Street 1:40 WORTH ST FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-2955
Practice Address - Country:US
Practice Address - Phone:646-619-6699
Practice Address - Fax:646-619-6782
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-18
Last Update Date:2017-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0393391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical