Provider Demographics
NPI:1134399736
Name:NAGHI, JESSICA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:
Last Name:NAGHI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW LCSW
Mailing Address - Street 1:146-01 45TH AVENUE SUITE 310
Mailing Address - Street 2:FLUSHING HOSPITAL MEDICAL CENTER MENTAL HEALTH CLINIC
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355
Mailing Address - Country:US
Mailing Address - Phone:718-670-5446
Mailing Address - Fax:718-670-4571
Practice Address - Street 1:146-01 45TH AVENUE SUITE 310
Practice Address - Street 2:FLUSHING HOSPITAL MEDICAL CENTER MENTAL HEALTH CLINIC
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:718-670-5446
Practice Address - Fax:718-670-4571
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-10
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071598104100000X
NY077697104100000X
NY104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker