Provider Demographics
NPI:1295925964
Name:KREFSKY, DEBRA LYNNE (LCSW)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:LYNNE
Last Name:KREFSKY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:DEBRA
Other - Middle Name:LYNNE
Other - Last Name:CASTRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:687 KENSINGTON DR
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-5814
Mailing Address - Country:US
Mailing Address - Phone:646-526-7202
Mailing Address - Fax:516-279-4874
Practice Address - Street 1:687 KENSINGTON DR
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-5814
Practice Address - Country:US
Practice Address - Phone:646-526-7202
Practice Address - Fax:516-279-4874
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR047242-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical