Individual
MS. ANN CARROLL SCIACCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
(718) 667-2811
(718) 668-8054
Mailing address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
(718) 667-2811
(718) 668-8054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R039139-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02453125
—
NY
Enumeration date
02/26/2007
Last updated
10/07/2010
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