Provider Demographics
NPI:1679294367
Name:HUSSEIN, AMML (LSW)
Entity type:Individual
Prefix:DR
First Name:AMML
Middle Name:
Last Name:HUSSEIN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 CLYDE RD STE 103
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-5037
Mailing Address - Country:US
Mailing Address - Phone:908-803-8004
Mailing Address - Fax:
Practice Address - Street 1:13 CLYDE RD STE 103
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-5037
Practice Address - Country:US
Practice Address - Phone:848-999-0123
Practice Address - Fax:732-246-1810
Is Sole Proprietor?:No
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05734600104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker