Provider Demographics
NPI:1700535911
Name:ASIEDU, GIFTY OSEI (MA, LCSW)
Entity Type:Individual
Prefix:MS
First Name:GIFTY
Middle Name:OSEI
Last Name:ASIEDU
Suffix:
Gender:F
Credentials:MA, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 KNOLLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-4938
Mailing Address - Country:US
Mailing Address - Phone:914-843-3635
Mailing Address - Fax:
Practice Address - Street 1:32 KNOLLWOOD AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-4938
Practice Address - Country:US
Practice Address - Phone:914-843-3635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0364221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical