Provider Demographics
NPI:1528605698
Name:MURPHY, CHARLOTTE ANNE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:CHARLOTTE
Middle Name:ANNE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LMSW
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20 PLAZA WEST
Mailing Address - Street 2:CEDARWOOD HALL/CHILD WELFARE PROGRAM; OFFICE A138
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595
Mailing Address - Country:US
Mailing Address - Phone:914-493-8181
Mailing Address - Fax:914-493-1023
Practice Address - Street 1:20 PLAZA WEST
Practice Address - Street 2:CEDARWOOD HALL/CHILD WELFARE PROGRAM; OFFICE A138
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595
Practice Address - Country:US
Practice Address - Phone:914-493-8181
Practice Address - Fax:914-493-1023
Is Sole Proprietor?:No
Enumeration Date:2019-12-07
Last Update Date:2019-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY090689-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1386714228Medicaid