Provider Demographics
NPI:1982368825
Name:CRIMI, ALESSANDRA ROSE (LMSW)
Entity Type:Individual
Prefix:
First Name:ALESSANDRA
Middle Name:ROSE
Last Name:CRIMI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HAWK HILL RD
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-3800
Mailing Address - Country:US
Mailing Address - Phone:845-256-0774
Mailing Address - Fax:
Practice Address - Street 1:200 AARON CT
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-2963
Practice Address - Country:US
Practice Address - Phone:845-331-1815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY31182141041S0200X
NY110828-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool