Provider Demographics
NPI:1548309297
Name:SEELIG, SHARON (LCSW)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:
Last Name:SEELIG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:KRACKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:320 ROBINSON AVE
Mailing Address - Street 2:STE 201-A
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-3353
Mailing Address - Country:US
Mailing Address - Phone:845-564-2540
Mailing Address - Fax:845-564-2544
Practice Address - Street 1:320 ROBINSON AVE
Practice Address - Street 2:STE 201-A
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-3353
Practice Address - Country:US
Practice Address - Phone:845-564-2540
Practice Address - Fax:845-564-2544
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR043709-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNC1031Medicare PIN