Provider Demographics
NPI:1649374240
Name:NEIER, SHARON MARLENE (LCSW)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:MARLENE
Last Name:NEIER
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 1:201 EAST 19TH ST
Mailing Address - Street 2:8D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:212-529-3794
Mailing Address - Fax:212-686-5425
Practice Address - Street 1:201 EAST 16TH ST
Practice Address - Street 2:STE 3B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-529-3794
Practice Address - Fax:212-686-5425
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
R0506781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN13981Medicare ID - Type Unspecified