Provider Demographics
NPI:1346960887
Name:COLELLA, CARALYNN (LMSW)
Entity Type:Individual
Prefix:
First Name:CARALYNN
Middle Name:
Last Name:COLELLA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 LOMBARDI PL
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-6317
Mailing Address - Country:US
Mailing Address - Phone:516-526-7035
Mailing Address - Fax:
Practice Address - Street 1:4 LOMBARDI PL
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-6317
Practice Address - Country:US
Practice Address - Phone:516-526-7035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY113881104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker