Provider Demographics
NPI:1558501080
Name:SCHLEIEN-NATANZON, SHULAMIT (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHULAMIT
Middle Name:
Last Name:SCHLEIEN-NATANZON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15335 78TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3438
Mailing Address - Country:US
Mailing Address - Phone:718-459-6644
Mailing Address - Fax:718-591-4964
Practice Address - Street 1:15335 78TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-3438
Practice Address - Country:US
Practice Address - Phone:718-591-4964
Practice Address - Fax:718-591-4964
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR040800-1172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker