Provider Demographics
NPI:1225336092
Name:SABINO, CLAUDIA ELISABETH (LCSW)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:ELISABETH
Last Name:SABINO
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 1:13749 JUNIPER AVE.
Mailing Address - Street 2:2ND. FLOOR
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355
Mailing Address - Country:US
Mailing Address - Phone:440-251-1053
Mailing Address - Fax:
Practice Address - Street 1:13749 JUNIPER AVE
Practice Address - Street 2:2 ND FLOOR
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4135
Practice Address - Country:US
Practice Address - Phone:440-251-1053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY082537104100000X
081528-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker