Sherry H Satin, LCSW

Individual provider Active NPI Clinical Social Worker · Piermont, NY

NPI 1457366221 · NPPES record last updated Aug 25, 2014

Key facts

NPI
1457366221
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
RO28992 (NY)
Practice address
104 Gair Street
Piermont, NY 10968-1098
Phone
(845) 398-3640
Fax
(845) 398-0942
NPI assigned
Jul 30, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
RO28992NYMDClinical Social Worker
028992NYMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X RO28992 NY Yes
Social Worker 104100000X
Social Worker 104100000X RO28992-1

Addresses

Primary practice location

104 Gair Street
Piermont, NY 10968-1098

Mailing address

104 Gair Street
Piermont, NY 10968-1098
Phone (845) 398-3640

Other identifiers

IdentifierTypeStateIssuer
02036051MedicaidNY

Other providers in Piermont, NY

All providers in Piermont, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.