Provider Demographics
NPI:1407667512
Name:SHLOMO, DANIELLE LYNN (LCSW)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:LYNN
Last Name:SHLOMO
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 1:348 CENTRAL PARK AVE APT C18
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-1328
Mailing Address - Country:US
Mailing Address - Phone:914-874-7477
Mailing Address - Fax:
Practice Address - Street 1:348 CENTRAL PARK AVE APT C18
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-1328
Practice Address - Country:US
Practice Address - Phone:914-874-7477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0993371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical