Provider Demographics
NPI:1629742101
Name:MACGREGOR-PILZ, SHEENA (LCSW)
Entity Type:Individual
Prefix:
First Name:SHEENA
Middle Name:
Last Name:MACGREGOR-PILZ
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 1:742 NEIGHBORHOOD RD
Mailing Address - Street 2:
Mailing Address - City:LAKE KATRINE
Mailing Address - State:NY
Mailing Address - Zip Code:12449-5306
Mailing Address - Country:US
Mailing Address - Phone:845-633-2631
Mailing Address - Fax:
Practice Address - Street 1:742 NEIGHBORHOOD RD
Practice Address - Street 2:
Practice Address - City:LAKE KATRINE
Practice Address - State:NY
Practice Address - Zip Code:12449-5306
Practice Address - Country:US
Practice Address - Phone:845-633-2631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY086184-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical