Provider Demographics
NPI:1275671471
Name:PAUCAR, SANDRA ELIZABETH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:ELIZABETH
Last Name:PAUCAR
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 N GREENBUSH RD
Mailing Address - Street 2:
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-2008
Mailing Address - Country:US
Mailing Address - Phone:917-295-8355
Mailing Address - Fax:
Practice Address - Street 1:18 N GREENBUSH RD
Practice Address - Street 2:
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-2008
Practice Address - Country:US
Practice Address - Phone:917-295-8355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY083420-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical