Provider Demographics
NPI:1427387299
Name:SIBER-SANDEROWITZ, SHAINA CARA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHAINA
Middle Name:CARA
Last Name:SIBER-SANDEROWITZ
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 1:2527 GLEBE AVENUE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:718-904-4479
Mailing Address - Fax:718-931-7307
Practice Address - Street 1:1967 TURNBULL AVENUE
Practice Address - Street 2:SUITE 26
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473
Practice Address - Country:US
Practice Address - Phone:718-620-5567
Practice Address - Fax:718-328-3349
Is Sole Proprietor?:No
Enumeration Date:2009-12-08
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY079853-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical