Provider Demographics
NPI:1780819359
Name:NG, JAMES KIT (LMSW)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:KIT
Last Name:NG
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10106 4TH AVE
Mailing Address - Street 2:APT. 26A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-8322
Mailing Address - Country:US
Mailing Address - Phone:917-445-5920
Mailing Address - Fax:
Practice Address - Street 1:10106 4TH AVE
Practice Address - Street 2:APT. 26A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-8322
Practice Address - Country:US
Practice Address - Phone:917-445-5920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073540104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker