Healthcare Provider Details

I. General information

NPI: 1871863126
Provider Name (Legal Business Name): CRYSTAL NICOLE HOTCHKIN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2012
Last Update Date: 09/27/2025
Certification Date: 09/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 JEFFERSON CT
STONY POINT NY
10980-1023
US

IV. Provider business mailing address

3 JEFFERSON CT
STONY POINT NY
10980-1023
US

V. Phone/Fax

Practice location:
  • Phone: 914-584-8350
  • Fax:
Mailing address:
  • Phone: 914-584-8350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number078713-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: