| Kristen E Caroprese Lcsw Pllc | |
|
18 Miller Rd Mahopac NY 10541-2220 | |
| (845) 628-2300 | |
| (845) 845-7800 |
| Full Name | Kristen E Caroprese Lcsw Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 18 Miller Rd, Mahopac, New York |
| Authorized Official Name and Position | Kristen Caroprese (OWNER) |
| Authorized Official Contact | 8456282300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen E Caroprese Lcsw Pllc 18 Miller Rd Mahopac NY 10541-2220 Ph: (845) 628-2300 | Kristen E Caroprese Lcsw Pllc 18 Miller Rd Mahopac NY 10541-2220 Ph: (845) 628-2300 |
| NPI Number | 1881165983 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 02/07/2019 |
| Medicare PECOS PAC ID | 3779821491 |
|---|---|
| Medicare Enrollment ID | O20190205001315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881165983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Jewel Barboza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063868099 PECOS PAC ID: 9931469038 Enrollment ID: I20180210000096 |
| Provider Name | Morgan Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164749651 PECOS PAC ID: 3072851708 Enrollment ID: I20190205001631 |
| Provider Name | Kristen E Caroprese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093111379 PECOS PAC ID: 9335487636 Enrollment ID: I20190212002314 |
| Provider Name | Jessica Duffy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447767876 PECOS PAC ID: 4183039381 Enrollment ID: I20210222001629 |
| Provider Name | Anthy Cynthia Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922179415 PECOS PAC ID: 4789809542 Enrollment ID: I20210222002436 |
| Provider Name | Frank Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053791426 PECOS PAC ID: 3072933118 Enrollment ID: I20210902002771 |
| Provider Name | Carolyn Creary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104175983 PECOS PAC ID: 6800258807 Enrollment ID: I20230808001341 |
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