Provider Demographics
NPI:1285824235
Name:SMITH KATZEN, CELIA (LCSW)
Entity Type:Individual
Prefix:
First Name:CELIA
Middle Name:
Last Name:SMITH KATZEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 COLONY DR
Mailing Address - Street 2:
Mailing Address - City:BLAUVELT
Mailing Address - State:NY
Mailing Address - Zip Code:10913-1319
Mailing Address - Country:US
Mailing Address - Phone:845-365-3923
Mailing Address - Fax:845-365-3331
Practice Address - Street 1:105 SHAD ROW # 1C
Practice Address - Street 2:
Practice Address - City:PIERMONT
Practice Address - State:NY
Practice Address - Zip Code:10968-3001
Practice Address - Country:US
Practice Address - Phone:845-365-6306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0399301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical