Shelly Davidor, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

255 15TH St
Suite 103, Basement Level
Brooklyn, NY 11215-4988

Phone

(718) 788-5101

NPI assigned

Aug 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Park Slope Center for Mental Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
  • NPI 1851382188
  NPD

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1780875203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 15TH ST",
            "address_2": "SUITE 103, BASEMENT LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154988",
            "telephone_number": "718-788-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 15TH ST",
            "address_2": "SUITE 103, BASEMENT LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154988",
            "telephone_number": "718-788-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDOR",
        "first_name": "SHELLY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tehila David
• Verena Anne David, OTR
• David'S Optical Inc
• Stephanie Davidar, MHC-LP
• Liudvika Davidonite, LMSW
• Abram Davidov
• Anver Davidov
• Egal Davidov
• Elina Davidov, FNP-BC, CEN
• Jakob Davidov

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.