Provider Demographics
NPI:1104232883
Name:ZELSON, SHELLEY (MSW)
Entity type:Individual
Prefix:
First Name:SHELLEY
Middle Name:
Last Name:ZELSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:SHELLEY
Other - Middle Name:
Other - Last Name:HENDEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:NIP, 250 WEST 57TH STREET
Mailing Address - Street 2:SUITE 501
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10107-0500
Mailing Address - Country:US
Mailing Address - Phone:212-582-1566
Mailing Address - Fax:
Practice Address - Street 1:250 W 57TH ST
Practice Address - Street 2:SUITE 501
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10107-0001
Practice Address - Country:US
Practice Address - Phone:212-582-1566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-02
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY72026380104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker