Provider Demographics
NPI:1467934570
Name:FRISHMAN, SHERYL (LCSW)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:
Last Name:FRISHMAN
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 1:575 FOWLER AVE
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-2521
Mailing Address - Country:US
Mailing Address - Phone:914-810-2237
Mailing Address - Fax:
Practice Address - Street 1:575 FOWLER AVE
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-2521
Practice Address - Country:US
Practice Address - Phone:914-810-2237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY104335-1104100000X
NY093470-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY093470-01OtherNEW YORK STATE DOE OFFICE OF THE PROFESSIONS