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NPI Code Detail

MEDICARE: MRS. N'KEYA NUBIA PETERS-CAMILLE LCSW

MEDICARE: MRS. N'KEYA NUBIA PETERS-CAMILLE LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker087465
2104100000XSocial Worker092331-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1087465OTHERNYLCSW

General Provider Information

NPI Number : 1598150773
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. N'KEYA NUBIA PETERS-CAMILLE LCSW
Provider Business Mailing Address
First Line : 921 E NEW YORK AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-1393
Country : US
Telephone Number : 718-778-0485
Fax Number :
Provider Business Practice Location Address
First Line : 921 E NEW YORK AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-1393
Country : US
Telephone Number : 718-778-0485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2015
Last Update Date : 11/27/2023

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