Healthcare Provider Details

I. General information

NPI: 1376000539
Provider Name (Legal Business Name): HENA ALI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2019
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7210 112TH ST
FOREST HILLS NY
11375-5467
US

IV. Provider business mailing address

1820 AVENUE M STE 1035
BROOKLYN NY
11230-5347
US

V. Phone/Fax

Practice location:
  • Phone: 917-512-1987
  • Fax:
Mailing address:
  • Phone: 917-512-1987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number086486
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: