Provider Demographics
NPI:1396020137
Name:MCGRATH SALAMONE, KIMBERLEY B (DSW, LCSW-R)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLEY
Middle Name:B
Last Name:MCGRATH SALAMONE
Suffix:
Gender:F
Credentials:DSW, LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 GARRISON WOODS LN
Mailing Address - Street 2:
Mailing Address - City:WALLKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12589-4040
Mailing Address - Country:US
Mailing Address - Phone:845-913-6562
Mailing Address - Fax:845-913-9467
Practice Address - Street 1:324 GARRISON WOODS LN
Practice Address - Street 2:
Practice Address - City:WALLKILL
Practice Address - State:NY
Practice Address - Zip Code:12589-4040
Practice Address - Country:US
Practice Address - Phone:845-913-6562
Practice Address - Fax:845-913-9467
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-12
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY07893111041C0700X
NY078931-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical