Provider Demographics
NPI:1770026346
Name:BROWNLEE, AISHA (LMSW)
Entity Type:Individual
Prefix:
First Name:AISHA
Middle Name:
Last Name:BROWNLEE
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 1:405 EDGECOMBE AVE
Mailing Address - Street 2:APT B2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-8014
Mailing Address - Country:US
Mailing Address - Phone:248-410-1177
Mailing Address - Fax:
Practice Address - Street 1:405 EDGECOMBE AVE
Practice Address - Street 2:APT B2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-8014
Practice Address - Country:US
Practice Address - Phone:248-410-1177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-30
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY098142104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker