MEDICARE: ELIANA LEAH SHENKER LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	126504-01	NY
2	1041C0700X	Clinical Social Worker	126504-01	CA

General Provider Information

NPI Number	:	1053105817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIANA LEAH SHENKER LMSW

Provider Business Mailing Address
First Line	:	445 PARK AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-2735
Country	:	US
Telephone Number	:	718-963-0800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1829 PREUSS RD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-4313
Country	:	US
Telephone Number	:	718-705-7357
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2025
Last Update Date	:	04/07/2025

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