Basic Information
| Provider Information | |||||||||
| NPI: | 1083743918 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STANTON | ||||||||
| FirstName: | SONDRA | ||||||||
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| Credential: | LCSWR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 386 HALSEY ST | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112162412 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7187012483 | ||||||||
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| Practice Location | |||||||||
| Address1: | 199 JAY ST | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112011907 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7184880100 | ||||||||
| FaxNumber: | 7184880129 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/05/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 050399 | NY | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.