Provider Demographics
NPI:1720299241
Name:SORGER, BETH (MSW)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:SORGER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 VILLAGE GATE WAY
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-1438
Mailing Address - Country:US
Mailing Address - Phone:845-353-6373
Mailing Address - Fax:
Practice Address - Street 1:10 VILLAGE GATE WAY
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-1438
Practice Address - Country:US
Practice Address - Phone:845-353-6373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062048-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical