Provider Demographics
NPI:1538418355
Name:AHUMADA, CLAUDIA (LMSW)
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:
Last Name:AHUMADA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 2ND AVE APT 23
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-4115
Mailing Address - Country:US
Mailing Address - Phone:917-714-9299
Mailing Address - Fax:
Practice Address - Street 1:2305 2ND AVE APT 23
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-4115
Practice Address - Country:US
Practice Address - Phone:917-714-9299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY72087229104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker