Gifty Osei Asiedu, MA, LCSW

Individual provider Active NPI Clinical Social Worker · Mount Vernon, NY

NPI 1700535911 · NPPES record last updated Mar 23, 2022

Key facts

NPI
1700535911
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
036422 (NY)
Practice address
32 Knollwood Ave
Mount Vernon, NY 10550-4938
Phone
(914) 843-3635
NPI assigned
Mar 23, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
036422NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 036422 NY Yes

Addresses

Primary practice location

32 Knollwood Ave
Mount Vernon, NY 10550-4938

Mailing address

32 Knollwood Ave
Mount Vernon, NY 10550-4938
Phone (914) 843-3635

Other providers in Mount Vernon, NY

All providers in Mount Vernon, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.