Provider Demographics
NPI:1154696284
Name:SHANAHAN, HELENA (MSW, MA)
Entity type:Individual
Prefix:
First Name:HELENA
Middle Name:
Last Name:SHANAHAN
Suffix:
Gender:F
Credentials:MSW, MA
Other - Prefix:
Other - First Name:HELENA
Other - Middle Name:
Other - Last Name:SHANAHAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:52 RIVERSIDE DR
Mailing Address - Street 2:APT. 5A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6501
Mailing Address - Country:US
Mailing Address - Phone:917-749-2609
Mailing Address - Fax:
Practice Address - Street 1:52 RIVERSIDE DR
Practice Address - Street 2:APT. 5A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6501
Practice Address - Country:US
Practice Address - Phone:917-749-2609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-22
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker