Provider Demographics
NPI:1760804066
Name:BEHREMOVIC-DURMIC, DIJANA (LCSW)
Entity type:Individual
Prefix:
First Name:DIJANA
Middle Name:
Last Name:BEHREMOVIC-DURMIC
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 WALTON AVE
Mailing Address - Street 2:APT BB-1
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-2314
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:811 WALTON AVE APT E1
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-2367
Practice Address - Country:US
Practice Address - Phone:201-873-3574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-06
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY099213-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker