Shameeka Mattis
Social Worker in New York, NY. Individual provider (NPI-1).
NPI number1962037705
StatusActive
Last updated in NPPESMar 11, 2020
Details
- NPI
- 1962037705
- Entity type
- Individual (NPI-1)
- Name
- Shameeka Mattis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 11, 2020
- Certification date
- Mar 11, 2020
- Last updated
- Mar 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 097028 | NY | Yes |
Practice location
19 W 34th St Rm 602New York, NY 10001-3006
Phone 917-733-2770
Mailing address
19 W 34th St Rm 602New York, NY 10001-3006
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