Provider Demographics
NPI:1417353418
Name:BREW, ELISABETH SHEDRICK (LMSW)
Entity Type:Individual
Prefix:
First Name:ELISABETH
Middle Name:SHEDRICK
Last Name:BREW
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 BREWSTER RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2042
Mailing Address - Country:US
Mailing Address - Phone:914-216-1892
Mailing Address - Fax:
Practice Address - Street 1:140 BREWSTER RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-2042
Practice Address - Country:US
Practice Address - Phone:914-216-1892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054022-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker