Provider Demographics
NPI:1861168619
Name:UZHCA-SHIN, SYLVIA VANESSA (LMSW)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:VANESSA
Last Name:UZHCA-SHIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MISS
Other - First Name:SYLVIA
Other - Middle Name:VANESSA
Other - Last Name:UZHCA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:4703 188TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-3808
Mailing Address - Country:US
Mailing Address - Phone:347-543-0669
Mailing Address - Fax:
Practice Address - Street 1:551 W 125TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-3433
Practice Address - Country:US
Practice Address - Phone:212-289-1788
Practice Address - Fax:646-362-5985
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY113591-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker