Provider Demographics
NPI:1932259850
Name:SONSIRE, TRICIA FRANCIS (LCSW)
Entity Type:Individual
Prefix:MS
First Name:TRICIA
Middle Name:FRANCIS
Last Name:SONSIRE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:TRICIA
Other - Middle Name:FRANCIS
Other - Last Name:SONSIRE-CUMMINGS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:36 BAYVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-3935
Mailing Address - Country:US
Mailing Address - Phone:631-689-5983
Mailing Address - Fax:
Practice Address - Street 1:4 STANLEY PL
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11788-2766
Practice Address - Country:US
Practice Address - Phone:631-979-3913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR049316104100000X
NYR04933161041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker
Not Answered1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool