Provider Demographics
NPI:1730689225
Name:PERSAUD, NATASHA DRUBEENA (LMSW)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:DRUBEENA
Last Name:PERSAUD
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 1:350 HUNNEWELL AVE
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-3400
Mailing Address - Country:US
Mailing Address - Phone:646-761-8143
Mailing Address - Fax:
Practice Address - Street 1:350 HUNNEWELL AVE
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-3400
Practice Address - Country:US
Practice Address - Phone:646-761-8143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker