Provider Demographics
NPI:1497039184
Name:BILAL, NISA F (LCSW-R)
Entity type:Individual
Prefix:MS
First Name:NISA
Middle Name:F
Last Name:BILAL
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HOYT ST FL 7
Mailing Address - Street 2:COMMUNITY COUNSELING AND MEDIATION
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5809
Mailing Address - Country:US
Mailing Address - Phone:718-802-0666
Mailing Address - Fax:
Practice Address - Street 1:481 MAIN ST
Practice Address - Street 2:STE 401 ALSSARO COUNSELING SERVICES
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-6324
Practice Address - Country:US
Practice Address - Phone:914-355-2440
Practice Address - Fax:914-235-0822
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-29
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY077549104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker