Shurayer Gilliam, LMSW
Social Worker, Clinical in Middletown, NY. Individual provider (NPI-1).
NPI number1982170981
StatusActive
Last updated in NPPESJul 5, 2024
Details
- NPI
- 1982170981
- Entity type
- Individual (NPI-1)
- Name
- Shurayer Gilliam
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2018
- Certification date
- Jun 27, 2024
- Last updated
- Jul 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 114395 | NY | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
480 North StMiddletown, NY 10940-4504
Phone 845-239-4541
Mailing address
340 Williams Ave Apt 4dBrooklyn, NY 11207-3932
Phone 929-365-6653
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