Provider Demographics
NPI:1639448681
Name:KAUFMAN, SANDI (LMSW)
Entity Type:Individual
Prefix:
First Name:SANDI
Middle Name:
Last Name:KAUFMAN
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 1:23 WAVERLY PL
Mailing Address - Street 2:APT 2T
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-6707
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23 WAVERLY PL
Practice Address - Street 2:APT 2T
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-6707
Practice Address - Country:US
Practice Address - Phone:347-658-4678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY081775-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker