Provider Demographics
NPI:1376114934
Name:HARSHAW, DENNAE MALESA
Entity type:Individual
Prefix:
First Name:DENNAE
Middle Name:MALESA
Last Name:HARSHAW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 AVENUE OF THE AMERICAS FL 9
Mailing Address - Street 2:SUITE 5013
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-5803
Mailing Address - Country:US
Mailing Address - Phone:323-487-2492
Mailing Address - Fax:
Practice Address - Street 1:1140 AVENUE OF THE AMERICAS FL 9
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-5803
Practice Address - Country:US
Practice Address - Phone:323-487-2492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-06
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY098820-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical