Provider Demographics
NPI:1578802534
Name:SHERNOFF, DAVID (LMSW)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:SHERNOFF
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CLINTON ST
Mailing Address - Street 2:13N
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-2748
Mailing Address - Country:US
Mailing Address - Phone:440-682-0675
Mailing Address - Fax:
Practice Address - Street 1:50 NEVINS ST
Practice Address - Street 2:ADULT MENTAL HEALTH
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-1004
Practice Address - Country:US
Practice Address - Phone:440-682-0675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-11
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY08191911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical