Individual
CELINE STILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
779 ROUTE 9W S, NYACK, NY 10960-5020
(917) 519-9657
(845) 365-6330
Mailing address
779 ROUTE 9W S, NYACK, NY 10960-5020
(917) 519-9657
(845) 365-6330
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
073534-1
NY
1041C0700X
Clinical Social Worker
Primary
R076599-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00073534
—
NY
Enumeration date
11/20/2007
Last updated
10/16/2020
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