| Mohanne Lcsw Pllc | |
|
516 Locust Street Apt 3d Mt Vernon NY 10552 | |
| (917) 599-3533 | |
| (718) 691-4968 |
| Full Name | Mohanne Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 516 Locust Street Apt 3d, Mt Vernon, New York |
| Authorized Official Name and Position | Mohanne Charles (CE)/OWNER) |
| Authorized Official Contact | 9175993533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohanne Lcsw Pllc 21337 39th Ave Ste 308 Bayside NY 11361-2071 Ph: (917) 599-3533 | Mohanne Lcsw Pllc 516 Locust Street Apt 3d Mt Vernon NY 10552 Ph: (917) 599-3533 |
| NPI Number | 1205624608 |
|---|---|
| Provider Enumeration Date | 04/28/2025 |
| Last Update Date | 12/29/2025 |
| Certification Date | 12/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205624608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |