Healthcare Provider Details

I. General information

NPI: 1750553673
Provider Name (Legal Business Name): SHERIE LYNN SEFF LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2008
Last Update Date: 03/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 SEVENTH AVE STE 503
NEW YORK NY
10019-5230
US

IV. Provider business mailing address

400 W 43RD ST APARTMENT: 9B
NEW YORK NY
10036-6302
US

V. Phone/Fax

Practice location:
  • Phone: 646-265-3633
  • Fax: 212-563-5708
Mailing address:
  • Phone: 646-265-3633
  • Fax: 212-563-5708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number073756-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: