Provider Demographics
NPI:1851056055
Name:KUHLOR, SHENELLE (LMSW)
Entity Type:Individual
Prefix:
First Name:SHENELLE
Middle Name:
Last Name:KUHLOR
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 1:2171 MADISON AVE APT 12A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-2328
Mailing Address - Country:US
Mailing Address - Phone:203-400-2656
Mailing Address - Fax:
Practice Address - Street 1:2171 MADISON AVE APT 12A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-2328
Practice Address - Country:US
Practice Address - Phone:203-400-2656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1129171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical