Provider Demographics
NPI:1740446822
Name:KLINE-FELIX, SHARYN RAE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:SHARYN
Middle Name:RAE
Last Name:KLINE-FELIX
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:SHARON
Other - Middle Name:RAE
Other - Last Name:KLINE-FELIX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:5 MONITOR ST APT 305
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-4144
Mailing Address - Country:US
Mailing Address - Phone:917-736-0501
Mailing Address - Fax:
Practice Address - Street 1:645 10TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-2904
Practice Address - Country:US
Practice Address - Phone:212-265-4500
Practice Address - Fax:212-265-6565
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY064945104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker