Healthcare Provider Details

I. General information

NPI: 1144144833
Provider Name (Legal Business Name): KAMILLA HASSEN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 RIVER TER APT 19B
NEW YORK NY
10282-1215
US

IV. Provider business mailing address

10 MAPLE ST APT C1
BROOKLYN NY
11225-5039
US

V. Phone/Fax

Practice location:
  • Phone: 631-729-0946
  • Fax:
Mailing address:
  • Phone: 202-746-1335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number132654
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: