Provider Demographics
NPI:1538102348
Name:MACARI, DEBRA LYN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:LYN
Last Name:MACARI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7925 150TH ST
Mailing Address - Street 2:C28
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3812
Mailing Address - Country:US
Mailing Address - Phone:516-978-7027
Mailing Address - Fax:
Practice Address - Street 1:1 LOIS ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4404
Practice Address - Country:US
Practice Address - Phone:203-221-8899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069486-11041C0700X
CT0091191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNY5161Medicare ID - Type Unspecified