Provider Demographics
NPI:1649956129
Name:SHERBET, CARYN (LMSW)
Entity type:Individual
Prefix:
First Name:CARYN
Middle Name:
Last Name:SHERBET
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 1:250 W 100TH ST # 1509
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5325
Mailing Address - Country:US
Mailing Address - Phone:202-740-6725
Mailing Address - Fax:
Practice Address - Street 1:250 W 100TH ST # 1509
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5325
Practice Address - Country:US
Practice Address - Phone:202-740-6725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1200531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical