Healthcare Provider Details

I. General information

NPI: 1952238347
Provider Name (Legal Business Name): DJAMILA ZAIDI LMSW, CASAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7410 35TH AVE APT 107W
JACKSON HEIGHTS NY
11372-8105
US

IV. Provider business mailing address

7410 35TH AVE APT 107W
JACKSON HEIGHTS NY
11372-8105
US

V. Phone/Fax

Practice location:
  • Phone: 929-485-7715
  • Fax:
Mailing address:
  • Phone: 718-672-1538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number083582
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: