Doctor Name: | KELLY GILCHRIST DECAPRIO |
NPI Number: | 1154603785 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 073628-1 |
Business Practice Address: | 1051 Dix Ave Best Program Hudson Falls, NY - 128391053 |
Business Phone Number: | 5187463470 |
Business Fax Number: | 5187463479 |
Mailing Address: | 1051 Dix Ave, Best Program HUDSON FALLS |
State: | NY |
Postal Code: | 128391053 |
Phone Number: | 5187463470 |
Fax Number: | 5187463479 |
NPI Enumeration Date: | 09/09/2011 |
NPI Last Update Date: | 09/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 073628-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |