Provider Demographics
NPI:1851629042
Name:HAJDU, MELINDA (MS, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:
Last Name:HAJDU
Suffix:
Gender:F
Credentials:MS, LCSW
Other - Prefix:MS
Other - First Name:MELINDA
Other - Middle Name:
Other - Last Name:FASMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LMSW
Mailing Address - Street 1:15033 78TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3436
Mailing Address - Country:US
Mailing Address - Phone:917-584-9310
Mailing Address - Fax:
Practice Address - Street 1:7723 138TH ST
Practice Address - Street 2:APT A
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-3269
Practice Address - Country:US
Practice Address - Phone:917-584-9310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-25
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY810041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical