Healthcare Provider Details

I. General information

NPI: 1982364543
Provider Name (Legal Business Name): MASUDA AKTAR LMSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2021
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8268 164TH ST
JAMAICA NY
11432-1121
US

IV. Provider business mailing address

8940 213TH ST
QUEENS VILLAGE NY
11427-2328
US

V. Phone/Fax

Practice location:
  • Phone: 718-883-3000
  • Fax:
Mailing address:
  • Phone: 917-325-7149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number108062
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number101374
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: