Individual provider · Type 1 NPI
Shana Dastur, L.C.S.W.
Clinical Social Worker · New York, NY
Practice location
406 10th Ave, 9th Floor
New York, NY 10001-2320
Fax (212) 273-6507
Mailing address
139 Forest Ave
West Caldwell, NJ 07006-7962
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 076100 (NY) |
| Clinical Social Worker Primary | 1041C0700X | 078540 (NY) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
3 other providers at this address
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About NPI 1255534368
Shana Dastur, L.C.S.W.'s National Provider Identifier is 1255534368, issued on Jun 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jul 9, 2012.