Provider Demographics
NPI:1992540447
Name:XING, XIAO OU (LMSW)
Entity type:Individual
Prefix:MS
First Name:XIAO OU
Middle Name:
Last Name:XING
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 1:425 W 53RD ST APT 419
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-5951
Mailing Address - Country:US
Mailing Address - Phone:571-591-8391
Mailing Address - Fax:
Practice Address - Street 1:425 W 53RD ST APT 419
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-5951
Practice Address - Country:US
Practice Address - Phone:571-591-8391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL07125800104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker