Provider Demographics
NPI:1700649464
Name:MASHIAH, GILA (MSW)
Entity type:Individual
Prefix:
First Name:GILA
Middle Name:
Last Name:MASHIAH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:GILA
Other - Middle Name:
Other - Last Name:BAKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1985 NE 208 TERR.
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179
Mailing Address - Country:US
Mailing Address - Phone:305-699-7664
Mailing Address - Fax:
Practice Address - Street 1:1985 NE 208 TERR.
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179
Practice Address - Country:US
Practice Address - Phone:305-699-7664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical