Provider Demographics
NPI:1427373901
Name:GILBERT, THYRA DESIREEE ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:THYRA
Middle Name:DESIREEE ELIZABETH
Last Name:GILBERT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:THYRA
Other - Middle Name:GILBERT
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:75 NEW SCOTLAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208
Mailing Address - Country:US
Mailing Address - Phone:518-549-6452
Mailing Address - Fax:518-549-6460
Practice Address - Street 1:75 NEW SCOTLAND AVENUE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208
Practice Address - Country:US
Practice Address - Phone:518-549-6452
Practice Address - Fax:518-549-6460
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY086070-11041C0700X
NY0741491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical