Provider Demographics
NPI:1912735440
Name:WORKMAN, ALISHA NICOLE
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:NICOLE
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:573 HALSEY ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-1101
Mailing Address - Country:US
Mailing Address - Phone:917-602-1079
Mailing Address - Fax:
Practice Address - Street 1:15 MACDONOUGH ST # 3B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-2303
Practice Address - Country:US
Practice Address - Phone:347-475-1676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health