Provider Demographics
NPI:1669481313
Name:ZUCKERMAN-HARTMANN, SHARON H (LCSW)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:H
Last Name:ZUCKERMAN-HARTMANN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:H
Other - Last Name:ZUCKERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:905 GREENE CO OFFICE BLDG
Mailing Address - Street 2:GREENE CO MENTAL HEALTH CLINIC
Mailing Address - City:CAIRO
Mailing Address - State:NY
Mailing Address - Zip Code:12413-2868
Mailing Address - Country:US
Mailing Address - Phone:518-622-9163
Mailing Address - Fax:518-622-8592
Practice Address - Street 1:905 GREENE CO OFFICE BLDG
Practice Address - Street 2:GREENE CO MENTAL HEALTH CLINIC
Practice Address - City:CAIRO
Practice Address - State:NY
Practice Address - Zip Code:12413-2868
Practice Address - Country:US
Practice Address - Phone:518-622-9163
Practice Address - Fax:518-622-8592
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074442104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY074442OtherLCSW LICENSE NO