Provider Demographics
NPI:1043243033
Name:SORBY, WENDY (MSW)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:
Last Name:SORBY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:SUSSMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:40 HENRY ST
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2602
Mailing Address - Country:US
Mailing Address - Phone:914-472-0036
Mailing Address - Fax:914-722-6727
Practice Address - Street 1:40 HENRY ST
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-2602
Practice Address - Country:US
Practice Address - Phone:914-472-0036
Practice Address - Fax:914-722-6727
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR002558-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWS963OtherOXFORD PROVIDER
NY216754OtherMHN PROVIDER
NY363942OtherMVP PROVIDER
NYP11112603OtherMULTIPLAN PROVIDER
NY135448OtherVALUE OPTIONS PROVIDER
NY4582707OtherAETNA PROVIDER
NY02037736Medicaid
NY10764-17806OtherCMS PROVIDER
NY62-27877OtherUNITED PROVIDER
NY749-3797 OR 0049001OtherGHI PROVIDER
NY216754OtherMHN PROVIDER
NYP11112603OtherMULTIPLAN PROVIDER