Provider Demographics
NPI:1801553052
Name:MITCHELL-SIMONIAN, VINCIA
Entity type:Individual
Prefix:MRS
First Name:VINCIA
Middle Name:
Last Name:MITCHELL-SIMONIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24763 90TH AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-1507
Mailing Address - Country:US
Mailing Address - Phone:914-208-9454
Mailing Address - Fax:
Practice Address - Street 1:610 WARING AVE APT 3M
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-7712
Practice Address - Country:US
Practice Address - Phone:914-208-9454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-23
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker