Provider Demographics
NPI:1457138497
Name:SHENKAR, DALITH (LMSW)
Entity Type:Individual
Prefix:
First Name:DALITH
Middle Name:
Last Name:SHENKAR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:DALITH
Other - Middle Name:
Other - Last Name:HELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:4 CLAIRANN DR
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-2807
Mailing Address - Country:US
Mailing Address - Phone:917-783-2532
Mailing Address - Fax:
Practice Address - Street 1:4 CLAIRANN DR
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-2807
Practice Address - Country:US
Practice Address - Phone:917-783-2532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0434861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical