Healthcare Provider Details

I. General information

NPI: 1427181742
Provider Name (Legal Business Name): SHERRI ELIZABETH KILPATRICK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 DAVENPORT AVENUE NEW ROCHELLE N EW YORK 10805 30 SOUTH BRAODWAY
YONKER NY NY
10701
US

IV. Provider business mailing address

7 DAVENPORT AVE
NEW ROCHELLE NY
10805-3443
US

V. Phone/Fax

Practice location:
  • Phone: 914-709-8405
  • Fax: 914-377-0892
Mailing address:
  • Phone: 914-709-8405
  • Fax: 914-377-0892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR057904
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: