- Practice location
- 1101 Main St, Peekskill, NY 10566-2907
- Phone
- 516-659-0406
- Fax
- —
- Last updated
- January 6, 2025
Ethan Carilli is a Social Worker based in Peekskill, NY. Ethan Carilli practices in Peekskill, NY and has the professional credentials of LMSW, CASAC-T. The NPI Number for Ethan Carilli is 1700628955 and holds a License No. 124816 (NY). The current practice location address for Ethan Carilli is 1101 Main St, Peekskill, NY 10566-2907 and can be reached out via phone at 516-659-0406.
Provider Profile Details
- NPI Number
- 1700628955
- Provider Name
- Ethan Carilli
- Credential
- LMSW, CASAC-T
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1101 Main St, Peekskill, NY 10566-2907
- Phone Number
- 516-659-0406
- Primary Taxonomy
- Social Worker · 104100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 10, 2024
- Last Update Date
- January 6, 2025
- Certification Date
- January 6, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1101 Main St
Peekskill, NY 10566-2907 - City
- Peekskill
- State
- New York
- Zip
- 10566-2907
- Phone Number
- 516-659-0406
Provider Business Mailing Address Details
- Address
- 845 N Broadway
White Plains, NY 10603-2403 - City
- White Plains
- State
- NY
- Zip
- 10603-2403
- Phone Number
- 516-659-0406
License Information
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 124816
- License State (2)
- NY
- Taxonomy (2)
- Social Worker · 104100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Workers near Peekskill, NY
View all Social Workers in Peekskill →- Andrea A Alfaro Diaz, LMSWSocial Worker · NPI 1720911639
- Ariana D Medina, LMSWSocial Worker · NPI 1629905229
- Briana H Rosenberg, LMSWSocial Worker · NPI 1629804273
- Daniela Bernabo, CSWSocial Worker · NPI 1346335296
- Darcy Cunningham, LMSWSocial Worker · NPI 1255888327
- Deirdre N Ragusa, LMSWSocial Worker · NPI 1053205773
Frequently Asked Questions
What is the NPI number of Ethan Carilli, LMSW, CASAC-T?
The NPI number of Ethan Carilli, LMSW, CASAC-T is 1700628955. It was assigned on June 10, 2024 and is currently active in the NPPES registry.
What is the specialty of Ethan Carilli, LMSW, CASAC-T?
Ethan Carilli, LMSW, CASAC-T is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NY under license number 124816.
Where does Ethan Carilli, LMSW, CASAC-T practice?
The practice location is 1101 Main St, Peekskill, NY 10566-2907. The office can be reached at 516-659-0406 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700628955 directly on the NPPES registry website.