Provider Demographics
NPI:1407657281
Name:REYES SARMIENTO, GABRIELA (LMSW)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:REYES SARMIENTO
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 WATER ST APT 715
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-5375
Mailing Address - Country:US
Mailing Address - Phone:502-416-7554
Mailing Address - Fax:
Practice Address - Street 1:1457 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3003
Practice Address - Country:US
Practice Address - Phone:516-520-5437
Practice Address - Fax:516-520-6767
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY123123104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker