Sherov, Marissa

Sherov, Marissa is an sole proprietor health care provider with primary practice located at 900 Walt Whitman Rd Ste 304 , Melville NY 11747-2215. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Sherov, Marissa can be contacted via phone (516) 661-2122.

Contact Information

Primary practice address
900 Walt Whitman Rd Ste 304 Melville NY 11747-2215
Phone: (516) 661-2122
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 079577-1 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 079577-1 New York
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1184856049
LBN Legal business name Sherov, Marissa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2009
Last updated Mar 15th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184856049 NPPES
New York MEDICAID 01420795

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