Provider Demographics
NPI:1780339929
Name:SANDRA DEMOPOULOS, LCSWR, PLLC
Entity type:Organization
Organization Name:SANDRA DEMOPOULOS, LCSWR, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:FIRPO-CAPPIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-473-1892
Mailing Address - Street 1:199 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-3200
Mailing Address - Country:US
Mailing Address - Phone:914-661-2680
Mailing Address - Fax:
Practice Address - Street 1:199 MAIN ST
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-3200
Practice Address - Country:US
Practice Address - Phone:914-661-2680
Practice Address - Fax:914-948-3960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty