Provider Demographics
NPI:1487528618
Name:HAKIM, OMAR SHARIF (LMSW)
Entity type:Individual
Prefix:
First Name:OMAR
Middle Name:SHARIF
Last Name:HAKIM
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:961 WASHINGTON AVE APT 4E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-2487
Mailing Address - Country:US
Mailing Address - Phone:786-529-6597
Mailing Address - Fax:
Practice Address - Street 1:400 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-3698
Practice Address - Country:US
Practice Address - Phone:786-529-6597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY118942-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical