Provider Demographics
NPI:1114043023
Name:FREUDENTHAL, SHEILA (RLCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:
Last Name:FREUDENTHAL
Suffix:
Gender:F
Credentials:RLCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-2611
Mailing Address - Country:US
Mailing Address - Phone:718-692-4549
Mailing Address - Fax:718-692-1361
Practice Address - Street 1:1001 E 3RD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-2611
Practice Address - Country:US
Practice Address - Phone:718-692-4549
Practice Address - Fax:718-692-1361
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045916-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker