Provider Demographics
NPI:1235221128
Name:SCHECHTMAN, SHEILA ANNE (LCSW, BCD)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:ANNE
Last Name:SCHECHTMAN
Suffix:
Gender:F
Credentials:LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 VETERANS MEMORIAL HWY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-4300
Mailing Address - Country:US
Mailing Address - Phone:631-543-1001
Mailing Address - Fax:
Practice Address - Street 1:340 VETERANS MEMORIAL HWY
Practice Address - Street 2:SUITE 2
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-4300
Practice Address - Country:US
Practice Address - Phone:631-543-1001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR01722511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN35251Medicare ID - Type Unspecified