Provider Demographics
NPI:1881223758
Name:SCALI, ANA NICOLE (LCSW)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:NICOLE
Last Name:SCALI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:NICOLE
Other - Last Name:FAKIRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:4 STALLION DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08515-9785
Mailing Address - Country:US
Mailing Address - Phone:516-993-8656
Mailing Address - Fax:
Practice Address - Street 1:624 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:THORNWOOD
Practice Address - State:NY
Practice Address - Zip Code:10594-1909
Practice Address - Country:US
Practice Address - Phone:212-423-6262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-03
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1082111041C0700X
NY0953701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical