Provider Demographics
NPI:1093834202
Name:STURMER, GAYLE (LCSW-R)
Entity Type:Individual
Prefix:
First Name:GAYLE
Middle Name:
Last Name:STURMER
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:GAYLE
Other - Middle Name:
Other - Last Name:SKOVRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:239 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-2674
Mailing Address - Country:US
Mailing Address - Phone:914-450-2413
Mailing Address - Fax:
Practice Address - Street 1:239 N BROADWAY
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-2674
Practice Address - Country:US
Practice Address - Phone:914-450-2413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0771381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical