Provider Demographics
NPI:1568542157
Name:ALBANO, MICHELE CLAIRE (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:CLAIRE
Last Name:ALBANO
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:CLAIRE
Other - Last Name:COLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16 WHITING RD
Mailing Address - Street 2:
Mailing Address - City:EAST QUOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11942-4904
Mailing Address - Country:US
Mailing Address - Phone:631-848-4088
Mailing Address - Fax:
Practice Address - Street 1:900 WALT WHITMAN RD STE LL1
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-2215
Practice Address - Country:US
Practice Address - Phone:516-698-5511
Practice Address - Fax:516-418-5377
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072172-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical