Healthcare Provider Details

I. General information

NPI: 1881741957
Provider Name (Legal Business Name): CHERYL S BIRNBAUM LCSWR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERRY BIRNBAUM LCSWR

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 BEDFORD ROAD
GREENWICH CT
06831
US

IV. Provider business mailing address

85 BEDFORD ROAD
GREENWICH CT
06831
US

V. Phone/Fax

Practice location:
  • Phone: 914-262-1771
  • Fax: 914-949-6778
Mailing address:
  • Phone: 914-262-1771
  • Fax: 914-949-6778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR042450
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: