Provider Demographics
NPI:1447235437
Name:MUFSON, CAROLYN TONI (CSW)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:TONI
Last Name:MUFSON
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:C.
Other - Middle Name:TONI
Other - Last Name:MUFSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:158 UNION TPKE APT 204C
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-1534
Mailing Address - Country:US
Mailing Address - Phone:845-201-0118
Mailing Address - Fax:
Practice Address - Street 1:158 UNION TPKE APT 204C
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-1534
Practice Address - Country:US
Practice Address - Phone:845-201-0118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-13
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO33400-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN58321Medicare ID - Type Unspecified