Provider Demographics
NPI:1730572942
Name:MOOKERJEE, VEERA (PHD, LMSW)
Entity type:Individual
Prefix:
First Name:VEERA
Middle Name:
Last Name:MOOKERJEE
Suffix:
Gender:F
Credentials:PHD, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1322 RALEIGH RD
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-1235
Mailing Address - Country:US
Mailing Address - Phone:734-786-4042
Mailing Address - Fax:
Practice Address - Street 1:615 LARCHMONT ACRES
Practice Address - Street 2:APT 'C'
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-7347
Practice Address - Country:US
Practice Address - Phone:734-786-4042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-12
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY099902104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker