Active NPIIndividual providerSole proprietor

Mr. Jerry Sander, LCSW-R

Social Worker, Clinical in Warwick, New York

NPI Number1033243951
Practice location
92 South St, Warwick, NY 10990-1618
Fax
—
Last updated
December 7, 2012

Jerry Sander is a Social Worker, Clinical based in Warwick, NY. Jerry Sander practices in Warwick, NY and has the professional credentials of LCSW-R. The NPI Number for Jerry Sander is 1033243951 and holds a License No. R0351191 (NY). The current practice location address for Jerry Sander is 92 South St, Warwick, NY 10990-1618 and can be reached out via phone at 845-986-4462.

Provider Profile Details

NPI Number
1033243951
Provider Name
Jerry Sander
Credential
LCSW-R
Provider Entity Type
Individual
Gender
Male
Address
92 South St, Warwick, NY 10990-1618
Phone Number
845-986-4462
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 15, 2007
Last Update Date
December 7, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
92 South St
Warwick, NY 10990-1618
Zip
10990-1618
Phone Number
845-986-4462
Warwick, NY 10990Get directions →

Provider Business Mailing Address Details

Address
92 South St
Warwick, NY 10990-1618
City
Warwick
State
NY
Zip
10990-1618
Phone Number
845-987-0094

License Information

License Number
R0351191
License State
NY
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jerry Sander, LCSW-R?

The NPI number of Mr. Jerry Sander, LCSW-R is 1033243951. It was assigned on March 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Jerry Sander, LCSW-R?

Mr. Jerry Sander, LCSW-R is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number R0351191.

Where does Mr. Jerry Sander, LCSW-R practice?

The practice location is 92 South St, Warwick, NY 10990-1618. The office can be reached at 845-986-4462 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033243951 directly on the NPPES registry website.

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