Provider Demographics
NPI:1225791627
Name:SEN, SUMANTHA SAIRA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:SUMANTHA
Middle Name:SAIRA
Last Name:SEN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 NETHERLAND AVE APT 1615
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-4823
Mailing Address - Country:US
Mailing Address - Phone:917-992-1902
Mailing Address - Fax:
Practice Address - Street 1:2600 NETHERLAND AVE APT 1615
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-4823
Practice Address - Country:US
Practice Address - Phone:917-992-1902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY113846104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker