Provider Demographics
NPI:1750003497
Name:PASSARETTI, LAURA MAY (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:MAY
Last Name:PASSARETTI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:MAY
Other - Last Name:SZAJKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:793 COUNTY ROUTE 6
Mailing Address - Street 2:
Mailing Address - City:HIGH FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12440-5417
Mailing Address - Country:US
Mailing Address - Phone:845-532-2841
Mailing Address - Fax:
Practice Address - Street 1:793 COUNTY ROUTE 6
Practice Address - Street 2:
Practice Address - City:HIGH FALLS
Practice Address - State:NY
Practice Address - Zip Code:12440-5417
Practice Address - Country:US
Practice Address - Phone:845-532-2841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0932841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical