Provider Demographics
NPI:1134993082
Name:AWADALLA, MERAM (LMSW)
Entity type:Individual
Prefix:
First Name:MERAM
Middle Name:
Last Name:AWADALLA
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 1:1113 DEAN AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-1485
Mailing Address - Country:US
Mailing Address - Phone:718-666-8431
Mailing Address - Fax:
Practice Address - Street 1:2751 CRESCENT ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-2581
Practice Address - Country:US
Practice Address - Phone:347-737-6396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-10
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker