Provider Demographics
NPI:1225131253
Name:ARROYO, HENRY (CASAC, SAP, LCSW)
Entity Type:Individual
Prefix:MR
First Name:HENRY
Middle Name:
Last Name:ARROYO
Suffix:
Gender:M
Credentials:CASAC, SAP, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23-22 100TH ST.
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11369
Mailing Address - Country:US
Mailing Address - Phone:718-459-5100
Mailing Address - Fax:718-459-4242
Practice Address - Street 1:9069 SUTPHIN BLVD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-4333
Practice Address - Country:US
Practice Address - Phone:929-462-7043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR046010-11041C0700X, 101Y00000X, 101YM0800X, 101YP2500X, 106H00000X
NY10882/R046010-1101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01730785Medicaid
NY01730785Medicaid
NYN5M171Medicare UPIN