Provider Demographics
NPI:1134231350
Name:JUNIOR, MARIA ISABEL (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ISABEL
Last Name:JUNIOR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ISABEL
Other - Last Name:CHICAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:222 STATION PLZ N
Mailing Address - Street 2:SUITE 611
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-3800
Mailing Address - Country:US
Mailing Address - Phone:516-434-4251
Mailing Address - Fax:516-663-8955
Practice Address - Street 1:201 PRESIDENT ST
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-4718
Practice Address - Country:US
Practice Address - Phone:516-434-4251
Practice Address - Fax:516-292-4651
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0832201041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical