Healthcare Provider Details

I. General information

NPI: 1356090161
Provider Name (Legal Business Name): SARAH KLEINMAN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2022
Last Update Date: 03/20/2022
Certification Date: 03/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 LAWRENCE AVE
SMITHTOWN NY
11787-3619
US

IV. Provider business mailing address

238 CLARINET LN
HOLBROOK NY
11741-3831
US

V. Phone/Fax

Practice location:
  • Phone: 631-360-2223
  • Fax: 631-360-2288
Mailing address:
  • Phone: 631-807-5188
  • Fax: 631-360-2288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: