Provider Demographics
NPI:1104071554
Name:BRAVERMAN, CHERYL JOY (LMSW)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:JOY
Last Name:BRAVERMAN
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 1:376 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1820
Mailing Address - Country:US
Mailing Address - Phone:516-239-8389
Mailing Address - Fax:
Practice Address - Street 1:376 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-1820
Practice Address - Country:US
Practice Address - Phone:917-375-5507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-26
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0951311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical