Provider Demographics
NPI:1194825802
Name:HYMAN, SHERI BETH (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHERI
Middle Name:BETH
Last Name:HYMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MS
Other - First Name:SHERI
Other - Middle Name:BETH
Other - Last Name:STARIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:30 GALLATIN DR
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-7950
Mailing Address - Country:US
Mailing Address - Phone:631-858-9669
Mailing Address - Fax:631-858-9669
Practice Address - Street 1:520 FRANKLIN AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-5801
Practice Address - Country:US
Practice Address - Phone:631-858-9669
Practice Address - Fax:631-858-9669
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR04591911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical