Provider Demographics
NPI:1336782895
Name:BORA, AME (LCSW)
Entity type:Individual
Prefix:MS
First Name:AME
Middle Name:
Last Name:BORA
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 1:367 SAINT MARKS AVE # 1165
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-2268
Mailing Address - Country:US
Mailing Address - Phone:347-688-7218
Mailing Address - Fax:
Practice Address - Street 1:367 SAINT MARKS AVE # 1165
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-2268
Practice Address - Country:US
Practice Address - Phone:347-688-7218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-28
Last Update Date:2024-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical