Provider Demographics
NPI:1356163273
Name:SLEMAKER, CYRIL (MSW)
Entity type:Individual
Prefix:
First Name:CYRIL
Middle Name:
Last Name:SLEMAKER
Suffix:
Gender:X
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 PLEASANT ST APT O
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-1154
Mailing Address - Country:US
Mailing Address - Phone:413-335-2796
Mailing Address - Fax:
Practice Address - Street 1:206 KING ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2297
Practice Address - Country:US
Practice Address - Phone:413-200-0783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical