Provider Demographics
NPI:1578788147
Name:CHARROW, CYD BETH (DSW LCSW)
Entity Type:Individual
Prefix:DR
First Name:CYD
Middle Name:BETH
Last Name:CHARROW
Suffix:
Gender:F
Credentials:DSW LCSW
Other - Prefix:
Other - First Name:CYD
Other - Middle Name:BETH
Other - Last Name:NEPON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSW
Mailing Address - Street 1:930 5 MERRICK ROAD
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510
Mailing Address - Country:US
Mailing Address - Phone:516-223-1833
Mailing Address - Fax:516-223-2550
Practice Address - Street 1:930 5 MERRICK ROAD
Practice Address - Street 2:
Practice Address - City:BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510
Practice Address - Country:US
Practice Address - Phone:516-223-1833
Practice Address - Fax:516-223-2550
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY26800104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
145813OtherV O
7493708OtherGHI
7493708OtherGHI