Provider Demographics
NPI:1881011070
Name:SCHROEDER, SHARON LYNN (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LYNN
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:MS
Other - First Name:SHARON
Other - Middle Name:LYNN
Other - Last Name:CALDIERO-SCHROEDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-R
Mailing Address - Street 1:PO BOX 468
Mailing Address - Street 2:
Mailing Address - City:CALLICOON
Mailing Address - State:NY
Mailing Address - Zip Code:12723-0468
Mailing Address - Country:US
Mailing Address - Phone:845-887-5039
Mailing Address - Fax:
Practice Address - Street 1:3 BRIDGE STREET
Practice Address - Street 2:
Practice Address - City:CALLICOON
Practice Address - State:NY
Practice Address - Zip Code:12723
Practice Address - Country:US
Practice Address - Phone:845-887-5039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR049443-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical