Provider Demographics
NPI:1124399563
Name:DREHER, SARAH KENNELLY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:KENNELLY
Last Name:DREHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4-21 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-4175
Mailing Address - Country:US
Mailing Address - Phone:718-777-6374
Mailing Address - Fax:
Practice Address - Street 1:4-21 27TH AVE
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-4175
Practice Address - Country:US
Practice Address - Phone:718-777-6374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-17
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker