Provider Demographics
NPI:1386249886
Name:ABECASIS, MAYAN (LCSW)
Entity type:Individual
Prefix:
First Name:MAYAN
Middle Name:
Last Name:ABECASIS
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4115 44TH ST APT 6D
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11104-2247
Mailing Address - Country:US
Mailing Address - Phone:347-730-6629
Mailing Address - Fax:
Practice Address - Street 1:4115 44TH ST APT 6D
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11104-2247
Practice Address - Country:US
Practice Address - Phone:917-213-7918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-02
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0994051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical