Provider Demographics
NPI:1780572156
Name:CARRION, PABLO (LMSW, NYCPS, CRPA)
Entity type:Individual
Prefix:MR
First Name:PABLO
Middle Name:
Last Name:CARRION
Suffix:
Gender:M
Credentials:LMSW, NYCPS, CRPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 E POST RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-5113
Mailing Address - Country:US
Mailing Address - Phone:914-484-1329
Mailing Address - Fax:
Practice Address - Street 1:112 E POST RD FL 1
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-5113
Practice Address - Country:US
Practice Address - Phone:914-484-1329
Practice Address - Fax:914-484-1329
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1922154145Medicaid