Provider Demographics
NPI:1346894342
Name:SHLLAKU, ARKENA (LMSW)
Entity Type:Individual
Prefix:
First Name:ARKENA
Middle Name:
Last Name:SHLLAKU
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 1:2300 5TH AVE APT 1R
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-1602
Mailing Address - Country:US
Mailing Address - Phone:914-803-2968
Mailing Address - Fax:
Practice Address - Street 1:928 BROADWAY STE 403
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-8151
Practice Address - Country:US
Practice Address - Phone:914-803-2968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-29
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106364-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker