Ethan Carilli, LMSW is a
Social Worker based in Harrison, New York. Ethan Carilli is licensed to practice in New York (license number 124816) and his current practice location is
275 North St, Harrison, New York. He can be reached at his office (for appointments etc.) via phone at
(516) 659-0406.
NPI number for Ethan Carilli is 1700628955 and his current mailing address is 65 Durham Rd Apt 4a, Bronxville, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700628955.
Healthcare Provider's Profile
| Full Name | Ethan Carilli |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
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| Location | 275 North St, Harrison, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700628955
- Provider Enumeration Date: 06/10/2024
- Last Update Date: 10/03/2024
Medical Identifiers
Medical identifiers for Ethan Carilli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700628955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 124816 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan Carilli is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ethan Carilli, LMSW
65 Durham Rd Apt 4a,
Bronxville, NY 10708-5413
Ph: (516) 659-0406 | Ethan Carilli, LMSW
275 North St,
Harrison, NY 10528-1140
Ph: (516) 659-0406 |
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