Healthcare Provider Details

I. General information

NPI: 1801016084
Provider Name (Legal Business Name): KAMILA ANNA ZAPYTOWSKA LCSW, CASAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2007
Last Update Date: 03/15/2025
Certification Date: 03/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 AVENUE OF THE AMERICAS FL 2
NEW YORK NY
10019-4703
US

IV. Provider business mailing address

31 MELISSA DR
NORTH HALEDON NJ
07508-2856
US

V. Phone/Fax

Practice location:
  • Phone: 646-823-5310
  • Fax:
Mailing address:
  • Phone: 646-229-1808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number20393
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05633600
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number082617
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: