MEDICARE: ALESSANDRA CONSTANCE SCALIA LMHC

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
1	101YM0800X	Mental Health Counselor	011135	NY
2	101YP2500X	Professional Counselor	37PC01015500	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	011135	OTHER	NY	LMHC

General Provider Information

NPI Number	:	1891348629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALESSANDRA CONSTANCE SCALIA LMHC

Provider Business Mailing Address
First Line	:	530 HULSETOWN RD
Second Line	:
City	:	CAMPBELL HALL
State	:	NY
Zip	:	10916-3204
Country	:	US
Telephone Number	:	646-480-7655
Fax Number	:

Provider Business Practice Location Address
First Line	:	1441 BROADWAY FL 5
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-1905
Country	:	US
Telephone Number	:	845-704-4184
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2019
Last Update Date	:	06/10/2026

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