Doctor Name: | MR. JEREMY ADAM STERNBERG |
NPI Number: | 1235346990 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMSW |
License Number: | 072395-1 |
Business Practice Address: | 480 Old Westbury Rd Roslyn Heights, NY - 115772215 |
Business Phone Number: | 5162995373 |
Business Fax Number: | |
Mailing Address: | 1592 Blenheim Rd, ROCKVILLE CENTRE |
State: | NY |
Postal Code: | 115702216 |
Phone Number: | 5162237881 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 072395-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |