Provider Demographics
NPI:1821510926
Name:KURIA-TAYLOR, NANCY (LMSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:KURIA-TAYLOR
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 1:133 ROLLING WAY
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2471
Mailing Address - Country:US
Mailing Address - Phone:917-583-7603
Mailing Address - Fax:
Practice Address - Street 1:133 ROLLING WAY
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-2471
Practice Address - Country:US
Practice Address - Phone:917-583-7603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20367101YA0400X
NY099461104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)