Provider Demographics
NPI:1912863663
Name:SANCTUARY THERAPY NY LCSW PLLC
Entity type:Organization
Organization Name:SANCTUARY THERAPY NY LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER, PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAUDERER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:516-200-6003
Mailing Address - Street 1:10 BOND ST STE 463
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-2454
Mailing Address - Country:US
Mailing Address - Phone:516-200-6003
Mailing Address - Fax:
Practice Address - Street 1:10 BOND ST STE 463
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-2454
Practice Address - Country:US
Practice Address - Phone:516-200-6003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-26
Last Update Date:2025-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty