Provider Demographics
NPI:1811018104
Name:SESTOK, GERILYN CATHERINE (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:GERILYN
Middle Name:CATHERINE
Last Name:SESTOK
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 BIRCH RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:10930-2935
Mailing Address - Country:US
Mailing Address - Phone:845-928-8980
Mailing Address - Fax:
Practice Address - Street 1:20 BIRCH RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND MILLS
Practice Address - State:NY
Practice Address - Zip Code:10930-2935
Practice Address - Country:US
Practice Address - Phone:845-928-8980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR041941-1101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional