Healthcare Provider Details

I. General information

NPI: 1770487522
Provider Name (Legal Business Name): CARIZMA WHITAKER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 BEAVER ST STE 301
ALBANY NY
12207-1504
US

IV. Provider business mailing address

9 PARK HL APT 11
ALBANY NY
12204-2135
US

V. Phone/Fax

Practice location:
  • Phone: 518-992-2322
  • Fax: 518-245-6272
Mailing address:
  • Phone: 347-883-9650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number119935
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: