Provider Demographics
NPI:1437951738
Name:MC GILLVERY, AKESHA N
Entity type:Individual
Prefix:
First Name:AKESHA
Middle Name:N
Last Name:MC GILLVERY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 E 98TH ST APT 9D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-1354
Mailing Address - Country:US
Mailing Address - Phone:718-419-7710
Mailing Address - Fax:
Practice Address - Street 1:660 E 98TH ST APT 9D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-1354
Practice Address - Country:US
Practice Address - Phone:718-419-7710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker