Healthcare Provider Details

I. General information

NPI: 1689395386
Provider Name (Legal Business Name): ASMAA AHMED LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2022
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

264 NEWARK AVE
JERSEY CITY NJ
07302-2366
US

IV. Provider business mailing address

4 AMHERST CT
KENDALL PARK NJ
08824-1902
US

V. Phone/Fax

Practice location:
  • Phone: 551-349-1727
  • Fax:
Mailing address:
  • Phone: 732-470-9355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06662300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: