Provider Demographics
NPI:1215346473
Name:YASIN, NAZNEEN (LCSW)
Entity type:Individual
Prefix:
First Name:NAZNEEN
Middle Name:
Last Name:YASIN
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 1:24 MOUNT DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-3153
Mailing Address - Country:US
Mailing Address - Phone:708-533-9676
Mailing Address - Fax:
Practice Address - Street 1:24 MOUNT DR
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-3153
Practice Address - Country:US
Practice Address - Phone:708-533-9676
Practice Address - Fax:708-533-9676
Is Sole Proprietor?:No
Enumeration Date:2014-08-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC057291001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical