Provider Demographics
NPI:1831209857
Name:SHAH, ZARNA U (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ZARNA
Middle Name:U
Last Name:SHAH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HILLSIDE AVE
Mailing Address - Street 2:STE E
Mailing Address - City:WILLISTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11596-2308
Mailing Address - Country:US
Mailing Address - Phone:516-921-0985
Mailing Address - Fax:
Practice Address - Street 1:2 HILLSIDE AVE
Practice Address - Street 2:STE E
Practice Address - City:WILLISTON PARK
Practice Address - State:NY
Practice Address - Zip Code:11596-2308
Practice Address - Country:US
Practice Address - Phone:516-921-0985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069432-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical