Healthcare Provider Details

I. General information

NPI: 1881972180
Provider Name (Legal Business Name): CHAYA SARAH HERSKOVITS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2011
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 MAIN ST
HEMPSTEAD NY
11550-2414
US

IV. Provider business mailing address

566 DONALD LN
WOODMERE NY
11598-1517
US

V. Phone/Fax

Practice location:
  • Phone: 516-894-2977
  • Fax:
Mailing address:
  • Phone: 845-559-8477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number095391
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: