Provider Demographics
NPI:1013678366
Name:HARRINGTON, KERRI LEE (LCSW, CASAC)
Entity Type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:LEE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:LCSW, CASAC
Other - Prefix:
Other - First Name:KERRI
Other - Middle Name:LEE
Other - Last Name:CORCORAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:51 OLD RD
Mailing Address - Street 2:
Mailing Address - City:EAST BERNE
Mailing Address - State:NY
Mailing Address - Zip Code:12059-2210
Mailing Address - Country:US
Mailing Address - Phone:518-419-8160
Mailing Address - Fax:
Practice Address - Street 1:51 OLD RD
Practice Address - Street 2:
Practice Address - City:EAST BERNE
Practice Address - State:NY
Practice Address - Zip Code:12059-2210
Practice Address - Country:US
Practice Address - Phone:518-419-8160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0925771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical