Provider Demographics
NPI:1912283631
Name:SANDS-MAURER, BRENDA (LMSW)
Entity type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:
Last Name:SANDS-MAURER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:BRENDA
Other - Middle Name:
Other - Last Name:MAURER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2 STOKES LN
Mailing Address - Street 2:
Mailing Address - City:GARDINER
Mailing Address - State:NY
Mailing Address - Zip Code:12525-5408
Mailing Address - Country:US
Mailing Address - Phone:845-255-6599
Mailing Address - Fax:
Practice Address - Street 1:53 GIBSON RD
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-6709
Practice Address - Country:US
Practice Address - Phone:845-291-0924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037284-11041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool