Provider Demographics
NPI:1538150883
Name:YOUSEF, MONA LEE (LCSW, CASAC)
Entity type:Individual
Prefix:
First Name:MONA LEE
Middle Name:
Last Name:YOUSEF
Suffix:
Gender:F
Credentials:LCSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 W 34TH ST FL 18
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10120-0001
Mailing Address - Country:US
Mailing Address - Phone:718-748-7484
Mailing Address - Fax:
Practice Address - Street 1:112 W 34TH ST FL 18
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10120-0001
Practice Address - Country:US
Practice Address - Phone:718-748-7484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-03
Last Update Date:2023-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR043284-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical