Provider Demographics
NPI:1487797734
Name:FLANDERS, SHARON MARVEL (LCSWR CASAC)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:MARVEL
Last Name:FLANDERS
Suffix:
Gender:F
Credentials:LCSWR CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 APPLETREE DRIVE
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1029
Mailing Address - Country:US
Mailing Address - Phone:845-876-2776
Mailing Address - Fax:845-876-5641
Practice Address - Street 1:6529 SPRINGBROOK AVENUE
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572
Practice Address - Country:US
Practice Address - Phone:845-876-2006
Practice Address - Fax:845-876-5641
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0330701104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker