Sandra Herliczek Lebow, RN, MSN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

121025 Issued in MA

Practice address

25 Main Street
Stockbridge, MA 01262

Phone

(413) 298-5519

NPI assigned

May 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sandra Wilson Herliczek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376754499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HUTCHINSON LN",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402217",
            "telephone_number": "413-637-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MAIN STREET",
            "city": "STOCKBRIDGE",
            "state": "MA",
            "postal_code": "01262",
            "telephone_number": "413-298-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOW",
        "first_name": "SANDRA",
        "middle_name": "HERLICZEK",
        "credential": "RN, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "121025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "HERLICZEK",
            "middle_name": "WILSON",
            "credential": "RN, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles H Kenny, M.D.
• Daniel Paul Charles Knauss, PSY.D.
• Megan Kolano, PSYD
• Sharon Elizabeth Krikorian, PH.D.
• Stacia Langenbahn, MSW, LICSW
• Katie Cooper Lewis, PHD
• Lawrence Lutner, M.D.
• Marina Bayeva, M.D., LLC
• Lee McClelland, R.N.
• Patricia M McPhee, N.P.

• Psychiatric/Mental Health Registered Nurse in Stockbridge, MA
• Providers in Stockbridge, MA by specialty
• Psychiatric/Mental Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.