Provider Demographics
NPI:1932340965
Name:DELHIWALA, NIRAJ SHYAMKISHOR (LCSW)
Entity Type:Individual
Prefix:
First Name:NIRAJ
Middle Name:SHYAMKISHOR
Last Name:DELHIWALA
Suffix:
Gender:M
Credentials:LCSW
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Mailing Address - Street 1:8515 MAIN ST
Mailing Address - Street 2:APT # 8G
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-1879
Mailing Address - Country:US
Mailing Address - Phone:646-733-6529
Mailing Address - Fax:646-774-0385
Practice Address - Street 1:411 LAFAYETTE ST
Practice Address - Street 2:SUITE # 638
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-7032
Practice Address - Country:US
Practice Address - Phone:646-733-6529
Practice Address - Fax:646-774-0385
Is Sole Proprietor?:No
Enumeration Date:2009-03-22
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0795981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical