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Carol S Krishnamoorthy, LCSW

Social Worker, Clinical in Northport, NY. Individual provider (NPI-1).

NPI number1285646067
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1285646067
Entity type
Individual (NPI-1)
Name
Ms. Carol S Krishnamoorthy
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 12, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalR012861-1NYYes

Practice location

79 Middleville Rd
Vamc Social Work & Chaplain Service (122)
Northport, NY 11768-2200

Phone 631-261-4400 · Fax 631-266-6029

Mailing address

46 Woody Ln
Northport, NY 11768-3255

Phone 631-261-4400 · Fax 631-266-6029

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