Provider Demographics
NPI:1619076007
Name:MORALES-KELLY, SHARNEE (LCSW)
Entity Type:Individual
Prefix:
First Name:SHARNEE
Middle Name:
Last Name:MORALES-KELLY
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 1:7 HAIGHT ST
Mailing Address - Street 2:
Mailing Address - City:PAWLING
Mailing Address - State:NY
Mailing Address - Zip Code:12564-1114
Mailing Address - Country:US
Mailing Address - Phone:845-855-2664
Mailing Address - Fax:845-855-4710
Practice Address - Street 1:7 HAIGHT ST
Practice Address - Street 2:
Practice Address - City:PAWLING
Practice Address - State:NY
Practice Address - Zip Code:12564-1114
Practice Address - Country:US
Practice Address - Phone:845-855-2664
Practice Address - Fax:845-855-4710
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY077263-11041C0700X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical