Provider Demographics
NPI:1750443156
Name:CALIMANO, KERRI (LMSW)
Entity Type:Individual
Prefix:
First Name:KERRI
Middle Name:
Last Name:CALIMANO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-7900
Mailing Address - Country:US
Mailing Address - Phone:631-665-6244
Mailing Address - Fax:631-968-6169
Practice Address - Street 1:144 4TH AVE
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-7900
Practice Address - Country:US
Practice Address - Phone:631-665-6244
Practice Address - Fax:631-968-6169
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY067349-01041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical