Provider Demographics
NPI:1881234532
Name:HUSAIN, ASIM (LCSW)
Entity type:Individual
Prefix:
First Name:ASIM
Middle Name:
Last Name:HUSAIN
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 1:31 US HIGHWAY 206
Mailing Address - Street 2:2ND FLOOR, SUITE B
Mailing Address - City:AUGUSTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07822-2041
Mailing Address - Country:US
Mailing Address - Phone:203-293-7603
Mailing Address - Fax:973-860-5363
Practice Address - Street 1:31 US HIGHWAY 206
Practice Address - Street 2:2ND FLOOR, SUITE B
Practice Address - City:AUGUSTA
Practice Address - State:NJ
Practice Address - Zip Code:07822-2041
Practice Address - Country:US
Practice Address - Phone:203-293-7603
Practice Address - Fax:973-860-5363
Is Sole Proprietor?:No
Enumeration Date:2020-01-10
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC063355001041C0700X
CT0116381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1008170Medicaid
CT008109728Medicaid