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NPI Code Detail

MEDICARE: KRISTEN CASTRO SCALA LCSW

MEDICARE:   KRISTEN  CASTRO SCALA  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor083532-1NY
31041C0700XClinical Social Worker082039NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811132459
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN CASTRO SCALA LCSW
Provider Business Mailing Address
First Line : 12 ANCHOR CT
Second Line :
City : WEST BABYLON
State : NY
Zip : 11704-7422
Country : US
Telephone Number : 516-244-5122
Fax Number :
Provider Business Practice Location Address
First Line : 7559 263RD ST
Second Line :
City : GLEN OAKS
State : NY
Zip : 11004-1100
Country : US
Telephone Number : 718-470-8684
Fax Number : 718-347-5514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2008
Last Update Date : 11/16/2021

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1881035129 — DR. MANASSA HANY M.D.
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Directions to “ KRISTEN CASTRO SCALA LCSW” Practice Location

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