Provider Demographics
NPI:1750048914
Name:SYPA, ARIELLE (LMSW)
Entity Type:Individual
Prefix:
First Name:ARIELLE
Middle Name:
Last Name:SYPA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ARIELLE
Other - Middle Name:
Other - Last Name:MILEWSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:160 DEVON LOOP APT 5
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-7557
Mailing Address - Country:US
Mailing Address - Phone:718-354-7638
Mailing Address - Fax:
Practice Address - Street 1:160 DEVON LOOP APT 5
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-7557
Practice Address - Country:US
Practice Address - Phone:718-354-7638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY114760104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker