Provider Demographics
NPI:1801910690
Name:BERGER CHAZIN, SHEILA (LCSW)
Entity type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:
Last Name:BERGER CHAZIN
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 1:135 E 50TH ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-7504
Mailing Address - Country:US
Mailing Address - Phone:212-421-3487
Mailing Address - Fax:
Practice Address - Street 1:135 E 50TH ST
Practice Address - Street 2:SUITE 109
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-7504
Practice Address - Country:US
Practice Address - Phone:212-421-3487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLCSW # PR0132191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical