Provider Demographics
NPI:1073490702
Name:DEKHKANOV, GALIT SARAH (LMSW)
Entity type:Individual
Prefix:
First Name:GALIT
Middle Name:SARAH
Last Name:DEKHKANOV
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6433 99TH ST APT 3D
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-3560
Mailing Address - Country:US
Mailing Address - Phone:646-886-2566
Mailing Address - Fax:
Practice Address - Street 1:6433 99TH ST APT 3D
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-3560
Practice Address - Country:US
Practice Address - Phone:646-886-2566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY12730301104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker