Healthcare Provider Details

I. General information

NPI: 1225791627
Provider Name (Legal Business Name): SUMANTHA SAIRA SEN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2021
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 CLINTON LN
HARRISON NY
10528-1401
US

IV. Provider business mailing address

276 5TH AVE FL 5
NEW YORK NY
10001-4527
US

V. Phone/Fax

Practice location:
  • Phone: 917-992-1902
  • Fax:
Mailing address:
  • Phone: 917-992-1902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number113846
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number100235
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: