Provider Demographics
NPI:1801562293
Name:ABREU, MEYOSHI (LCSW)
Entity type:Individual
Prefix:
First Name:MEYOSHI
Middle Name:
Last Name:ABREU
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4080 BROADWAY # 232
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-1572
Mailing Address - Country:US
Mailing Address - Phone:516-277-6121
Mailing Address - Fax:
Practice Address - Street 1:4080 BROADWAY # 232
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-1572
Practice Address - Country:US
Practice Address - Phone:516-277-6121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-17
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY112774104100000X
NY0989081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty