Sharon R Eidelman, LCSW
Individual provider Active NPI Clinical Social Worker · Haverstraw, NY
NPI 1760550925 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1760550925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- R0560321 (NY)
- Practice address
- 85 New Main Street
Haverstraw, NY 10927 - Phone
- (845) 429-6070
- Fax
- (845) 429-1347
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0560321 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R0560321 | NY | Yes |
Addresses
Primary practice location
85 New Main Street
Haverstraw, NY 10927
Mailing address
165 Bon Air Ave
New Rochelle, NY 10804
Phone (845) 429-6070
Other providers in Haverstraw, NY
- Sophia Dastine
- Helen De Asis
- Girish B Desai
- Maria Alexandra Duenas
- Sara Edmonds
- Elements Licensed Behavior Analyst PLLC
- Anne Elton
- Emilio Perez Medical PC
- Empire Homecare, LLC
- Janell Alexa Escobar
All providers in Haverstraw, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.