Provider Demographics
NPI:1972617702
Name:MEISHAR, SHARONE (LCSW)
Entity type:Individual
Prefix:
First Name:SHARONE
Middle Name:
Last Name:MEISHAR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 WELWYN RD
Mailing Address - Street 2:1E
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3555
Mailing Address - Country:US
Mailing Address - Phone:516-225-8483
Mailing Address - Fax:
Practice Address - Street 1:12 WELWYN RD
Practice Address - Street 2:1E
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3555
Practice Address - Country:US
Practice Address - Phone:516-225-8483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0720611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical