Provider Demographics
NPI:1992088223
Name:SADOW FRANKEL, SHELLEY (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHELLEY
Middle Name:
Last Name:SADOW FRANKEL
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 1:17 OAKDALE AVE
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1912
Mailing Address - Country:US
Mailing Address - Phone:973-809-3525
Mailing Address - Fax:973-996-2159
Practice Address - Street 1:17 OAKDALE AVE
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1912
Practice Address - Country:US
Practice Address - Phone:973-809-3525
Practice Address - Fax:973-996-2159
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SCO45754001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical