Tara Khoury, LCSW
Social Worker, Clinical in Bronx, NY. Individual provider (NPI-1).
NPI number1861880452
StatusActive
Last updated in NPPESSep 8, 2023
Details
- NPI
- 1861880452
- Entity type
- Individual (NPI-1)
- Name
- Tara Khoury
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 5, 2015
- Certification date
- Sep 8, 2023
- Last updated
- Sep 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44SC05927800 | NJ | Yes |
| 1041C0700X | Social Worker, Clinical | 087078-01 | NY |
Practice location
234 E 149th StBronx, NY 10451-5504
Phone 718-579-4895
Mailing address
20 Demarest StreetNorwood, NJ 07648-3153
Phone 914-497-5706
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