Provider Demographics
NPI:1164698288
Name:DEMOPOULOS, SANDRA HELENE (LCSWR)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:HELENE
Last Name:DEMOPOULOS
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:SANDY
Other - Middle Name:HELENE
Other - Last Name:DEMOPOULOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:199 MAIN ST STE 601
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-3286
Mailing Address - Country:US
Mailing Address - Phone:914-661-2680
Mailing Address - Fax:914-948-3960
Practice Address - Street 1:199 MAIN ST 601
Practice Address - Street 2:SUITE 601
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-3286
Practice Address - Country:US
Practice Address - Phone:914-661-2680
Practice Address - Fax:914-948-3960
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069070104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker