Provider Demographics
NPI:1689219438
Name:SHIRODKAR SOCIAL WORK SERVICES, LMSW, P.C.
Entity Type:Organization
Organization Name:SHIRODKAR SOCIAL WORK SERVICES, LMSW, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHIRODKAR
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:516-661-5314
Mailing Address - Street 1:59 AUDREY AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-3514
Mailing Address - Country:US
Mailing Address - Phone:516-661-5314
Mailing Address - Fax:516-935-4805
Practice Address - Street 1:59 AUDREY AVE
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-3514
Practice Address - Country:US
Practice Address - Phone:516-661-5314
Practice Address - Fax:516-935-4805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty