Provider Demographics
NPI:1043043482
Name:ZELANKA, LUCAS (LMSW)
Entity type:Individual
Prefix:
First Name:LUCAS
Middle Name:
Last Name:ZELANKA
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 BROADWAY APT 4D
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-3076
Mailing Address - Country:US
Mailing Address - Phone:516-492-1645
Mailing Address - Fax:
Practice Address - Street 1:2751 CRESCENT ST LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-2581
Practice Address - Country:US
Practice Address - Phone:347-448-6727
Practice Address - Fax:347-448-6620
Is Sole Proprietor?:No
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY124361104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker