Provider Demographics
NPI:1063574283
Name:VORA, SHOBHNA (LCSW)
Entity type:Individual
Prefix:MS
First Name:SHOBHNA
Middle Name:
Last Name:VORA
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 1:601 EAST 20TH STREET
Mailing Address - Street 2:#12 B
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10010
Mailing Address - Country:US
Mailing Address - Phone:212-677-5315
Mailing Address - Fax:212-677-5315
Practice Address - Street 1:601 EAST 20TH STREET
Practice Address - Street 2:#12 B
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:212-677-5315
Practice Address - Fax:212-677-5315
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLCSWR0160351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical