Provider Demographics
NPI:1598939134
Name:BERTOLINO CRAPANZANO, SANDRA R (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:R
Last Name:BERTOLINO CRAPANZANO
Suffix:
Gender:F
Credentials:LCSW-R
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Other - First Name:
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Mailing Address - Street 1:22 SAW MILL RIVER RD
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-1533
Mailing Address - Country:US
Mailing Address - Phone:845-496-5437
Mailing Address - Fax:845-496-7640
Practice Address - Street 1:10 WEATHERVANE DR
Practice Address - Street 2:
Practice Address - City:WASHINGTONVILLE
Practice Address - State:NY
Practice Address - Zip Code:10992-2242
Practice Address - Country:US
Practice Address - Phone:845-496-5437
Practice Address - Fax:845-496-7640
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYR03821011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical