Provider Demographics
NPI:1700274693
Name:HORELICK, CHRISTINA M (LCSW)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:HORELICK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:HORELICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:16 LYNWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-5212
Mailing Address - Country:US
Mailing Address - Phone:145-758-1239
Mailing Address - Fax:914-575-8123
Practice Address - Street 1:16 LYNWOOD RD
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-5212
Practice Address - Country:US
Practice Address - Phone:914-575-8123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-31
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY097781104100000X
NY0972011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker