Healthcare Provider Details

I. General information

NPI: 1740105774
Provider Name (Legal Business Name): SHOSHANA KRAFT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHOSHANA SCHWADRON LMSW

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 W 9TH ST
BROOKLYN NY
11231-2501
US

IV. Provider business mailing address

8328 TALBOT ST
KEW GARDENS NY
11415-3501
US

V. Phone/Fax

Practice location:
  • Phone: 718-599-9090
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number111683
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: