Provider Demographics
NPI:1215708201
Name:ABDELDAIM, CLAIRE C
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:C
Last Name:ABDELDAIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DUVALSAINT
Other - Middle Name:C
Other - Last Name:CLAIRE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2 BAY CLUB DR APT E16D
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-2957
Mailing Address - Country:US
Mailing Address - Phone:347-262-7196
Mailing Address - Fax:
Practice Address - Street 1:2 BAY CLUB DR APT 16D
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11360-2947
Practice Address - Country:US
Practice Address - Phone:347-262-7196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22025871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical