Healthcare Provider Details

I. General information

NPI: 1508786021
Provider Name (Legal Business Name): CARA DOYLE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 STEWART AVE STE LL18
GARDEN CITY NY
11530-4784
US

IV. Provider business mailing address

250 N VILLAGE AVE APT B10
ROCKVILLE CENTRE NY
11570-2321
US

V. Phone/Fax

Practice location:
  • Phone: 516-732-6964
  • Fax:
Mailing address:
  • Phone: 516-281-5272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number123264
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: