Provider Demographics
NPI:1508019050
Name:HARRISON, TROY (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:TROY
Middle Name:
Last Name:HARRISON
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 TOW PATH RD
Mailing Address - Street 2:
Mailing Address - City:ACCORD
Mailing Address - State:NY
Mailing Address - Zip Code:12404-5515
Mailing Address - Country:US
Mailing Address - Phone:845-430-5356
Mailing Address - Fax:
Practice Address - Street 1:180 TOW PATH RD
Practice Address - Street 2:
Practice Address - City:ACCORD
Practice Address - State:NY
Practice Address - Zip Code:12404-5515
Practice Address - Country:US
Practice Address - Phone:845-430-5356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR035988-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker