Provider Demographics
NPI:1942972278
Name:CLAUDIO, CRISCELIS ADELIS (LMSW)
Entity Type:Individual
Prefix:
First Name:CRISCELIS
Middle Name:ADELIS
Last Name:CLAUDIO
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 1:1420 FERRIS PL
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-3611
Mailing Address - Country:US
Mailing Address - Phone:718-239-1610
Mailing Address - Fax:
Practice Address - Street 1:1420 FERRIS PL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-3611
Practice Address - Country:US
Practice Address - Phone:718-239-1610
Practice Address - Fax:845-633-5964
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY114091104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker