Provider Demographics
NPI:1184378903
Name:NAZIRI, SALIMEH (LMSW)
Entity type:Individual
Prefix:MS
First Name:SALIMEH
Middle Name:
Last Name:NAZIRI
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 1:1100 AVENUE AT PORT IMPERIAL APT 625
Mailing Address - Street 2:
Mailing Address - City:WEEHAWKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07086-6993
Mailing Address - Country:US
Mailing Address - Phone:786-457-8549
Mailing Address - Fax:
Practice Address - Street 1:511 W 182ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-5107
Practice Address - Country:US
Practice Address - Phone:646-317-0236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102660104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty