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Provider Information for 1740476837


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Mrs. SCHERALDA BROWN-SMALL


Other Names:  
Professional Name: 
Mrs. SCHERALDA BROWN-SMALL LCSW

Sex: Female

NPI: 1740476837
Last Updated: 2007-11-16
Certification Date:

Details

NameValue
NPI1740476837
Enumeration Date2007-09-21
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 769 CENTERWOOD ST
WEST BABYLON, NY 11704-2126
United States

Phone: 631-491-4036 | Fax:
 
Primary Practice Address 769 CENTERWOOD ST
WEST BABYLON, NY 11704-2126
United States

Phone: 631-491-4036 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalNYR045758