Mustard Seed Forensic Licensed Clinical Social Work Services P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MUSTARD SEED FORENSIC LICENSED CLINICAL SOCIAL WORK SERVICES P.C.

Practice address

2625 Atlantic Ave
Brooklyn, NY 11207-2407

Phone

(718) 875-7425

NPI assigned

Mar 23, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Scott Johnson, J.D.

Title

Dir. Business & Legal

Phone

(718) 875-7425

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1831498369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072407",
            "telephone_number": "718-875-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTARD SEED FORENSIC LICENSED CLINICAL SOCIAL WORK SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DIR. BUSINESS & LEGAL",
        "authorized_official_telephone_number": "718-875-7425",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghassan Mustafa
• Shawkat Mustafa, M.D.
• Albina Mustafalic
• Galima Mustafina
• Marina Mustafina
• Mustard Seed Survivor Empowerment Foundation
• Sima Muster
• Karen J Mustipher-Shepard, MSW
• Pooja Musuku
• Jennifer Musumeci, MD

• Community/Behavioral Health Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.