Provider Demographics
NPI:1245066562
Name:CARPIO, ELIZABETH S (LMSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:S
Last Name:CARPIO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:S
Other - Last Name:GUZMAN VASQUEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:938 7TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-4208
Mailing Address - Country:US
Mailing Address - Phone:516-675-6586
Mailing Address - Fax:
Practice Address - Street 1:200 HALF MILE RD
Practice Address - Street 2:
Practice Address - City:CENTRAL ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11722-2523
Practice Address - Country:US
Practice Address - Phone:631-348-5066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102322-011041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool