Provider Demographics
NPI:1700483583
Name:SINCLAIR-BUCKHAM, NATASHA FELICIA (LMSW)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:FELICIA
Last Name:SINCLAIR-BUCKHAM
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 1:12 SENECA LN
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-4019
Mailing Address - Country:US
Mailing Address - Phone:347-623-9386
Mailing Address - Fax:
Practice Address - Street 1:12 SENECA LN
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4019
Practice Address - Country:US
Practice Address - Phone:347-623-9386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY099288104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker