Shana Dastur, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078540 Issued in NY

Practice address

406 10TH Ave
9TH Floor
New York, NY 10001-2320

Phone

(718) 488-0100

Fax

(212) 273-6507

NPI assigned

Jun 6, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1255534368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 FOREST AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067962",
            "telephone_number": "718-208-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 10TH AVE",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012320",
            "telephone_number": "718-488-0100",
            "fax_number": "212-273-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASTUR",
        "first_name": "SHANA",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "076100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann-Marie Dassler, NURSE PRACTITIONER
• Kimberly Dasso, LMSW
• Jahannaz Dastgir, DO
• Joyeeta G Dastidar, MD
• Helodia Dastine, LCSW
• Chandini Daswani, N.P
• Anjali Acharya Date, MD
• Derek Joseph Dathe, PT, DPT
• Isaac Datikashvili, DMD
• Ellen Datner, PSY.D.

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.