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General NPI Number Information
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NPI Number | 1811132459
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Entity Type | Individual
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Provider Name | KRISTEN CASTRO SCALA LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/11/2008
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 7559 263RD ST
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City | GLEN OAKS
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State | NY
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Zip | 11004-1100
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Country | US
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Telephone | 718-470-8684
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Fax | 718-347-5514
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Provider Business Mailing Address
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Address Line | 12 ANCHOR CT
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City | WEST BABYLON
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State | NY
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Zip | 11704-7422
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Country | US
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Telephone | 516-244-5122
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 083532-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 082039
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License Number State | NY
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