Healthcare Provider Details

I. General information

NPI: 1821908344
Provider Name (Legal Business Name): SHULEM SHALVA SERVICES LCSW P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 SASEV CT UNIT 311
MONROE NY
10950-5946
US

IV. Provider business mailing address

3 SASEV CT UNIT 311
MONROE NY
10950-5946
US

V. Phone/Fax

Practice location:
  • Phone: 347-452-4856
  • Fax:
Mailing address:
  • Phone: 347-452-4856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: SHULEM MOSKOWITZ
Title or Position: OWNER
Credential: LCSW
Phone: 347-452-4856