Provider Demographics
NPI:1821759184
Name:JOORY, SHIRLY ASLAN (LMSW)
Entity Type:Individual
Prefix:
First Name:SHIRLY
Middle Name:ASLAN
Last Name:JOORY
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 1:25 IRMA AVE
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-2809
Mailing Address - Country:US
Mailing Address - Phone:516-210-6727
Mailing Address - Fax:
Practice Address - Street 1:520 FRANKLIN AVE STE L1
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-5892
Practice Address - Country:US
Practice Address - Phone:516-210-6727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY114661104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker