Provider Demographics
NPI:1659508554
Name:GREENBERG, SHARI (LMSW)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:
Last Name:GREENBERG
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 1:554 AMHERST DR
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1002
Mailing Address - Country:US
Mailing Address - Phone:516-374-7214
Mailing Address - Fax:
Practice Address - Street 1:554 AMHERST DR
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1002
Practice Address - Country:US
Practice Address - Phone:516-374-7214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053724171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator