Provider Demographics
NPI:1548590219
Name:SADAKA, JOSET (LMSW)
Entity Type:Individual
Prefix:MS
First Name:JOSET
Middle Name:
Last Name:SADAKA
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 1:9 JEFFREY LN
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11020-1607
Mailing Address - Country:US
Mailing Address - Phone:516-482-1063
Mailing Address - Fax:
Practice Address - Street 1:9 JEFFREY LN
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11020-1607
Practice Address - Country:US
Practice Address - Phone:516-482-1063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-02
Last Update Date:2010-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052802-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker