Provider Demographics
NPI:1851615728
Name:NEGRON-SIMS, MELISSA (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:NEGRON-SIMS
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 1:836 PALISADE AVE
Mailing Address - Street 2:APT. E
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10703-1537
Mailing Address - Country:US
Mailing Address - Phone:914-433-1814
Mailing Address - Fax:
Practice Address - Street 1:836 PALISADE AVE
Practice Address - Street 2:APT. E
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10703-1537
Practice Address - Country:US
Practice Address - Phone:914-433-1814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-22
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050962-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker