Provider Demographics
NPI:1821004219
Name:PAULINO, LUIS RAFAEL (LCSW,CASAC)
Entity type:Individual
Prefix:MR
First Name:LUIS
Middle Name:RAFAEL
Last Name:PAULINO
Suffix:
Gender:M
Credentials:LCSW,CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 SOUTH DRIVE
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12538
Mailing Address - Country:US
Mailing Address - Phone:914-403-7160
Mailing Address - Fax:
Practice Address - Street 1:VA HUDSON VALLEY HEALTH SYSTEM
Practice Address - Street 2:ROUTE 9D
Practice Address - City:CASTLE POINT
Practice Address - State:NY
Practice Address - Zip Code:12538
Practice Address - Country:US
Practice Address - Phone:845-831-2000
Practice Address - Fax:845-838-5236
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8072101YA0400X
NY0666411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical