Doctor Name: | MS. SONIA VANDERPOOL |
NPI Number: | 1396058152 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W.-R |
License Number: | R037455-1 |
Business Practice Address: | 1090 Deiderick Rd. Orient, NY - 11957 |
Business Phone Number: | 6314877903 |
Business Fax Number: | |
Mailing Address: | P.o.box 432, ORIENT |
State: | NY |
Postal Code: | 11957 |
Phone Number: | 6314877903 |
Fax Number: | |
NPI Enumeration Date: | 07/22/2010 |
NPI Last Update Date: | 07/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R037455-1 |
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 |