Provider Demographics
NPI:1750756334
Name:NIAKATE, FATOUMATA (LCSW)
Entity type:Individual
Prefix:
First Name:FATOUMATA
Middle Name:
Last Name:NIAKATE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 7TH AVE APT 37
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10030-1829
Mailing Address - Country:US
Mailing Address - Phone:927-371-9367
Mailing Address - Fax:
Practice Address - Street 1:205 HUDSON ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-1803
Practice Address - Country:US
Practice Address - Phone:646-770-1657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-07
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY096494252Y00000X
NY089776104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No252Y00000XAgenciesEarly Intervention Provider Agency