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ETHAN CARILLI LMSW, CASAC-T
NPI 1700628955
Social Worker in Peekskill, NY

Active since June 10, 2024
1101 MAIN ST, PEEKSKILL, NY 10566(516) 659-0406 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2025, Oct 3, 2024, Jun 10, 2024 (3 updates tracked since 2024).

About Ethan Carilli Lmsw, Casac-t NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN CARILLI LMSW, CASAC-T (NPI 1700628955) is an individual social worker in Peekskill, New York, licensed in New York (124816) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1700628955
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameETHAN CARILLICredential: LMSW, CASAC-T
Location Address1101 MAIN STPeekskill, NY 10566-2907
Mailing Address845 N BroadwayWhite Plains, NY 10603-2403 · (516) 659-0406
Phone(516) 659-0406
Sole ProprietorNo
Enumeration DateJune 10, 2024
Last NPPES UpdateJanuary 6, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1700628955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 124816
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
1101 MAIN ST, Peekskill, NY 10566
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA DUKE-PEREZ LPN
Licensed Practical Nurse
1101 MAIN ST, C/O WJCS
PEEKSKILL, NY 10566
Westchester County (914) 737-7338
MS. SARAJANE MCGUINNESS
Student in an Organized Health Care Education/Training Program
1101 MAIN ST
PEEKSKILL, NY 10566
Westchester County (914) 737-7338
DEIRDRE NOELLE RAGUSA LMSW
Social Worker
1101 MAIN ST
PEEKSKILL, NY 10566
Westchester County (914) 737-7338
ANNE BINGAMAN
Student in an Organized Health Care Education/Training Program
1101 MAIN ST
PEEKSKILL, NY 10566
Westchester County (914) 737-7338
MS. JOAN VOGT LMSW
Social Worker
1101 MAIN ST
PEEKSKILL, NY 10566
Westchester County (914) 737-7338
MS. SUZANNE DELASHO LCSWR
Social Worker (Clinical)
1101 MAIN ST
PEEKSKILL, NY 10566
Westchester County (914) 737-7338
CITLALICUE DENISE HERRERA LCSW
Social Worker (Clinical)
1101 MAIN ST
PEEKSKILL, NY 10566
Westchester County (914) 737-7338
PAMELA NADAN PSYD
Psychologist
1101 MAIN ST, C/O WJCS
PEEKSKILL, NY 10566
Westchester County (914) 737-7338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Carilli's NPI number?

The NPI number for Ethan Carilli is 1700628955. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Ethan Carilli located?

Ethan Carilli practices at 1101 Main St, Peekskill, NY 10566. The listed phone number is (516) 659-0406.

What is Ethan Carilli's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Ethan Carilli was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.