Provider Demographics
NPI:1013430172
Name:SINCLAIR, ALPHOD CLEOPHAS (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ALPHOD
Middle Name:CLEOPHAS
Last Name:SINCLAIR
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-1312
Mailing Address - Country:US
Mailing Address - Phone:347-244-2447
Mailing Address - Fax:347-244-7363
Practice Address - Street 1:813 MAPLE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-1312
Practice Address - Country:US
Practice Address - Phone:347-244-2447
Practice Address - Fax:347-244-2447
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-20
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
NYR07124-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical