Provider Demographics
NPI:1144426388
Name:BERGER, SHARON C (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:C
Last Name:BERGER
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 1:54 GANUNG DR
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-3938
Mailing Address - Country:US
Mailing Address - Phone:917-991-5800
Mailing Address - Fax:914-762-3886
Practice Address - Street 1:108 E 38TH ST
Practice Address - Street 2:SUITE 208
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2648
Practice Address - Country:US
Practice Address - Phone:917-991-5800
Practice Address - Fax:914-762-3886
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR056642-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical