Provider Demographics
NPI:1598437154
Name:SICHENZE, GABRIELLA JEAN (LMSW)
Entity Type:Individual
Prefix:MISS
First Name:GABRIELLA
Middle Name:JEAN
Last Name:SICHENZE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 77TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-2321
Mailing Address - Country:US
Mailing Address - Phone:347-525-5552
Mailing Address - Fax:
Practice Address - Street 1:931 77TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-2321
Practice Address - Country:US
Practice Address - Phone:347-525-5552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY114102104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker