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NPI 1558352336

NPI 1558352336 : CECILY DORAN-HARAMIS L.C.S.W., C.A.S.A.C. : ROCKVILLE CENTRE, NY

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General NPI Number Information
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    NPI Number           |    1558352336
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    Entity Type          |    Individual 
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    Provider Name        |    CECILY DORAN-HARAMIS L.C.S.W., C.A.S.A.C.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/02/2005
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    100 N VILLAGE AVE SUITE 32
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    City                 |    ROCKVILLE CENTRE
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    State                |    NY
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    Zip                  |    11570-3767
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    Country              |    US
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    Telephone            |    516-384-1390
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    101 UNION AVE 
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    City                 |    LYNBROOK
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    State                |    NY
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    Zip                  |    11563-3314
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    Country              |    US
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    Telephone            |    516-887-0828
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    10704
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    R052445
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    License Number State |    NY
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