Claudia Ahumada, Lcsw, Pllc | |
2556 31st St Ste 302 Astoria NY 11102 | |
(917) 960-1713 | |
(718) 606-9190 |
Full Name | Claudia Ahumada, Lcsw, Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 2556 31st St Ste 302, Astoria, New York |
Authorized Official Name and Position | Claudia Isabel Ahumada (CEO) |
Authorized Official Contact | 9179601713 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Claudia Ahumada, Lcsw, Pllc 2414 21st St Apt 5 Astoria NY 11102-3417 Ph: (917) 960-1713 | Claudia Ahumada, Lcsw, Pllc 2556 31st St Ste 302 Astoria NY 11102 Ph: (917) 960-1713 |
NPI Number | 1134626740 |
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Provider Enumeration Date | 04/10/2018 |
Last Update Date | 05/29/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134626740 | NPI | - | NPPES |
085510-1 | Other | NY | NYS LICENSE |
085510-1 | Other | NY | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 085510-1 (New York) | Primary |
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