Provider Demographics
NPI:1447612569
Name:STERNAL, KARIN REBECCA (LMSW, RSMT)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:REBECCA
Last Name:STERNAL
Suffix:
Gender:F
Credentials:LMSW, RSMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:471 SCHOOLHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:GHENT
Mailing Address - State:NY
Mailing Address - Zip Code:12075-4034
Mailing Address - Country:US
Mailing Address - Phone:917-596-0611
Mailing Address - Fax:
Practice Address - Street 1:33 S 5TH ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-2432
Practice Address - Country:US
Practice Address - Phone:917-596-0611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-28
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY838311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical