Provider Demographics
NPI:1699214080
Name:DILORENZO, KAYLA MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:MARIE
Last Name:DILORENZO
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 1:209 OLD ROUTE 9
Mailing Address - Street 2:STE 5
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2476
Mailing Address - Country:US
Mailing Address - Phone:845-875-7133
Mailing Address - Fax:845-875-7133
Practice Address - Street 1:26 OAKLEY STREET
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601
Practice Address - Country:US
Practice Address - Phone:845-240-7707
Practice Address - Fax:845-337-3678
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-17
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0840611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical