Provider Demographics
NPI:1255603551
Name:NAMIR, MICHAL (LCSW)
Entity type:Individual
Prefix:
First Name:MICHAL
Middle Name:
Last Name:NAMIR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MIKA
Other - Middle Name:
Other - Last Name:NAMIR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1922 BRIARCLIFF RD
Mailing Address - Street 2:
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1302
Mailing Address - Country:US
Mailing Address - Phone:267-495-4983
Mailing Address - Fax:
Practice Address - Street 1:328 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3134
Practice Address - Country:US
Practice Address - Phone:267-495-4983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-01
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0181841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical