Provider Demographics
NPI:1437660651
Name:KAHN, SHULAMIT (LMSW)
Entity Type:Individual
Prefix:
First Name:SHULAMIT
Middle Name:
Last Name:KAHN
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 1:752 COTTAGE PL
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2215
Mailing Address - Country:US
Mailing Address - Phone:201-836-5275
Mailing Address - Fax:
Practice Address - Street 1:752 COTTAGE PL
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-2215
Practice Address - Country:US
Practice Address - Phone:201-836-5275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY091736104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker