Provider Demographics
NPI:1790705580
Name:SHANKAR, SANDHYA (LCSW,LMFT)
Entity Type:Individual
Prefix:
First Name:SANDHYA
Middle Name:
Last Name:SHANKAR
Suffix:
Gender:F
Credentials:LCSW,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1885 THE ALAMEDA
Mailing Address - Street 2:SUITE 131
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-1744
Mailing Address - Country:US
Mailing Address - Phone:408-248-6806
Mailing Address - Fax:408-248-6828
Practice Address - Street 1:1885 THE ALAMEDA
Practice Address - Street 2:SUITE 131
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-1744
Practice Address - Country:US
Practice Address - Phone:408-248-6806
Practice Address - Fax:408-248-6828
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS12081104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker