Provider Demographics
NPI:1316718158
Name:GHATRI, GOLNOOSH YOUSEF (LMSW)
Entity type:Individual
Prefix:MS
First Name:GOLNOOSH
Middle Name:YOUSEF
Last Name:GHATRI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 COVEY CT
Mailing Address - Street 2:
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-2926
Mailing Address - Country:US
Mailing Address - Phone:516-477-7311
Mailing Address - Fax:
Practice Address - Street 1:7 COVEY CT
Practice Address - Street 2:
Practice Address - City:GLEN HEAD
Practice Address - State:NY
Practice Address - Zip Code:11545-2926
Practice Address - Country:US
Practice Address - Phone:516-477-7311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-10
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY122241-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker