KRISTEN ANN CACIC LCSW
NPI 1932298858
Counselor - Mental Health in Commack, NY
Active since October 11, 2006
About Kristen Ann Cacic Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTEN ANN CACIC LCSW (NPI 1932298858) is an individual mental health provider in Commack, New York, licensed in New York (R054608) and active in the NPI registry since October 2006.
NPPES Registry Identity
NPI1932298858
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTEN ANN CACICCredential: LCSW
Location Address145 COMMACK RD, SUITE 13Commack, NY 11725-3438
Mailing Address145 Commack Rd, Suite 13Commack, NY 11725-3438 · (631) 266-1381
Phone(631) 266-1381
Sole ProprietorYes
Enumeration DateOctober 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1932298858 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · R054608
145 COMMACK RD, Commack, NY 11725
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932298858, enumerated as an "individual" on October 11, 2006.
The provider is located at 145 COMMACK RD SUITE 13 COMMACK, NY 11725 and the phone number is (631) 266-1381.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.