Provider Demographics
NPI:1386212645
Name:SUNAR, NEESA SUNCHEURI (LMSW)
Entity Type:Individual
Prefix:MS
First Name:NEESA
Middle Name:SUNCHEURI
Last Name:SUNAR
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 1:22055 46TH AVE APT 6W
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-3669
Mailing Address - Country:US
Mailing Address - Phone:718-578-7808
Mailing Address - Fax:
Practice Address - Street 1:22055 46TH AVE APT 6W
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-3669
Practice Address - Country:US
Practice Address - Phone:718-578-7808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY110683104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker