Provider Demographics
NPI:1982090478
Name:CLAUDIO MOREL
Entity Type:Organization
Organization Name:CLAUDIO MOREL
Other - Org Name:CLAUDIO MOREL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSE MASTER SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLAUDIO
Authorized Official - Middle Name:M
Authorized Official - Last Name:MOREL
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:917-584-5236
Mailing Address - Street 1:49 BALLARD POND DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10992-1276
Mailing Address - Country:US
Mailing Address - Phone:917-584-5236
Mailing Address - Fax:
Practice Address - Street 1:49 BALLARD POND DR
Practice Address - Street 2:
Practice Address - City:WASHINGTONVILLE
Practice Address - State:NY
Practice Address - Zip Code:10992-1276
Practice Address - Country:US
Practice Address - Phone:917-584-5236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-10
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY094428-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty