CRISTA LIN SIMONETTI LCSW-R NPI 1710095492

Counselor (Mental Health) in Bay Shore, NY

Individual Female Counselor Mental Health

About CRISTA SIMONETTI

Crista Simonetti is a provider established in Bay Shore, New York and her medical specialization is counselor. The NPI number of Crista Simonetti is 1710095492 and was assigned on August 2006. The practitioner's primary taxonomy code is 101YM0800X with license number 073728 (NY). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI

1710095492

Provider Name CRISTA LIN SIMONETTI LCSW-R
Provider Location Address269 W MAIN ST BAY SHORE, NY 11706
Provider Mailing Address269 W MAIN ST BAY SHORE, NY 11706
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date08-25-2006
Last Update Date12-21-2012

Primary Taxonomy

Taxonomy Code101YM0800X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationMental Health
License No.073728
License StateNY

Business Address

CRISTA LIN SIMONETTI LCSW-R
269 W MAIN ST
BAY SHORE, NY
ZIP 11706
Phone: (631) 885-5830

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Mailing Address

CRISTA LIN SIMONETTI LCSW-R
269 W MAIN ST
BAY SHORE, NY
ZIP 11706
Phone: (631) 885-5830

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023546652 DANIELLE ADAMSON
Individual
Counselor (Mental Health)269 W MAIN ST
BAY SHORE, NY 11706
(631) 721-6781
1124447289 BERTHA MURPHY LCSW
Individual
Social Worker (Clinical)269 W MAIN ST 2ND FLOOR
BAY SHORE, NY 11706
(631) 666-1951
1366593683 LIANNE E. CONROY LCSW
Individual
Social Worker (Clinical)269 W MAIN ST
BAY SHORE, NY 11706
(631) 252-4024
1639620313 GRACE JOHNSON LCSW
Individual
Social Worker (Clinical)269 W MAIN ST SECOND FLOOR
BAY SHORE, NY 11706
(631) 666-1954
1770875361 ROBERTA MORRIS LMSW
Individual
Social Worker269 W MAIN ST 2ND FLOOR
BAY SHORE, NY 11706
(631) 666-1951
1871819060 PHILIP T SKLAW LMSW
Individual
Social Worker (Clinical)269 W MAIN ST 2ND FLOOR
BAY SHORE, NY 11706
(631) 666-1951
1922598051 CHELSEA MOCCIO LMSW
Individual
Social Worker269 W MAIN ST
BAY SHORE, NY 11706
(631) 240-4879
1972819910 ROBERT HARRY RICHARDSON LMSW
Individual
Social Worker269 W MAIN ST 2ND FLOOR
BAY SHORE, NY 11706
(631) 666-1951

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.