Healthcare Provider Details

I. General information

NPI: 1982417762
Provider Name (Legal Business Name): SARA LERMAN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 W HAWTHORNE AVE
VALLEY STREAM NY
11580-6223
US

IV. Provider business mailing address

1030 NEILSON ST APT 1E
FAR ROCKAWAY NY
11691-5097
US

V. Phone/Fax

Practice location:
  • Phone: 516-569-6600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: