Provider Demographics
NPI:1053105817
Name:SHENKER, ELIANA LEAH (LMSW)
Entity type:Individual
Prefix:
First Name:ELIANA
Middle Name:LEAH
Last Name:SHENKER
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-2735
Mailing Address - Country:US
Mailing Address - Phone:718-963-0800
Mailing Address - Fax:
Practice Address - Street 1:1829 PREUSS RD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-4313
Practice Address - Country:US
Practice Address - Phone:718-705-7357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY126504-011041C0700X
CA126504-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical