Carol Ann Assenza, LCSW
Individual provider Active NPI Clinical Social Worker · Deer Park, NY
NPI 1720200868 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720200868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 072169-1 (NY)
- Practice address
- 348 W 23Rd St
Deer Park, NY 11729-6331 - Phone
- (631) 243-5180
- Fax
- (631) 370-1886
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072169-1 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 072169-1 | NY | Yes |
Addresses
Primary practice location
348 W 23Rd St
Deer Park, NY 11729-6331
Mailing address
348 W 23Rd St
Deer Park, NY 11729-6331
Phone (631) 243-5180
Other providers in Deer Park, NY
- Azogini Arinze
- Lisa Gale Aronoff
- Adrian Arredondo
- Diane Ashley
- Vanessa Marie Assemi
- Lila Attrino
- Steven Attrino
- Stelie Aubergiste Dupre
- Corey Austin
- Babylon Psychological Services
All providers in Deer Park, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.