Provider Demographics
NPI:1659697787
Name:WALIA, ALKA PAUL (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALKA
Middle Name:PAUL
Last Name:WALIA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6342 FITCHETT ST FL 1
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2812
Mailing Address - Country:US
Mailing Address - Phone:718-263-1378
Mailing Address - Fax:718-335-8016
Practice Address - Street 1:150-11 HILLSIDE AVE
Practice Address - Street 2:JAMAICA COMMUNITY SERVICES
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432
Practice Address - Country:US
Practice Address - Phone:718-739-5778
Practice Address - Fax:718-523-2728
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY077094-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical