Provider Demographics
NPI:1669100624
Name:AHARON, ARIELLA (LCSW, OSW-C, ACHP-SW)
Entity type:Individual
Prefix:
First Name:ARIELLA
Middle Name:
Last Name:AHARON
Suffix:
Gender:F
Credentials:LCSW, OSW-C, ACHP-SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14736 76TH RD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3140
Mailing Address - Country:US
Mailing Address - Phone:917-751-1715
Mailing Address - Fax:
Practice Address - Street 1:14736 76TH RD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-3140
Practice Address - Country:US
Practice Address - Phone:917-751-1715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
NY089785-01104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker