Provider Demographics
NPI:1316195407
Name:DRESSLERLCSW, SHANNON
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:
Last Name:DRESSLERLCSW
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 1:34 PLAZA ST E
Mailing Address - Street 2:APT. 702
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-5038
Mailing Address - Country:US
Mailing Address - Phone:917-921-9535
Mailing Address - Fax:
Practice Address - Street 1:301 E 29TH ST
Practice Address - Street 2:SUITE 720
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8301
Practice Address - Country:US
Practice Address - Phone:212-722-0610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0749401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical