Provider Demographics
NPI:1639609654
Name:NAIDOO, SANDIA DEVI (LMSW)
Entity type:Individual
Prefix:MS
First Name:SANDIA
Middle Name:DEVI
Last Name:NAIDOO
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 1:9255 215TH ST
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11428-1227
Mailing Address - Country:US
Mailing Address - Phone:718-570-3852
Mailing Address - Fax:
Practice Address - Street 1:115 WEST 27TH STREET
Practice Address - Street 2:4TH FLOOR, TRAINING INSTITUTE OF MENTAL HEALTH
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:212-627-8181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2017-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY088743104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker