Provider Demographics
NPI:1891026589
Name:AHUJA, NEELAM (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NEELAM
Middle Name:
Last Name:AHUJA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 S LOTUS OVAL
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-2331
Mailing Address - Country:US
Mailing Address - Phone:516-967-0066
Mailing Address - Fax:516-791-4119
Practice Address - Street 1:91 S LOTUS OVAL
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-2331
Practice Address - Country:US
Practice Address - Phone:516-967-0066
Practice Address - Fax:516-791-4119
Is Sole Proprietor?:No
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0430011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical