Provider Demographics
NPI:1528219169
Name:KAUTTO, JUDITH GILBERT (LCSW MSW)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:GILBERT
Last Name:KAUTTO
Suffix:
Gender:F
Credentials:LCSW MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 E. MAIN STREET
Mailing Address - Street 2:SUITE D
Mailing Address - City:MT. KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549
Mailing Address - Country:US
Mailing Address - Phone:914-241-0444
Mailing Address - Fax:914-219-5518
Practice Address - Street 1:153 E. MAIN STREET
Practice Address - Street 2:SUITE D
Practice Address - City:MT. KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549
Practice Address - Country:US
Practice Address - Phone:914-241-0444
Practice Address - Fax:914-219-5518
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPRO19292-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker