Provider Demographics
NPI:1295888212
Name:MILLSTEIN, SHERYL F (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:F
Last Name:MILLSTEIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 WESTERVELT AVE
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-2534
Mailing Address - Country:US
Mailing Address - Phone:201-568-7185
Mailing Address - Fax:201-568-7185
Practice Address - Street 1:175 CEDAR LN
Practice Address - Street 2:SUITE 9
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4315
Practice Address - Country:US
Practice Address - Phone:201-568-7185
Practice Address - Fax:201-568-7185
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-21
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC01441000104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ659654Medicare ID - Type UnspecifiedCSW