Individual
MS. ALISON SUSAN NYDICK HALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1068 MAIN ST, STE 104, FISHKILL, NY 12524-3659
(845) 765-2269
(845) 765-2268
Mailing address
3 E PEMBROKE CIRCLE, WAPPINGERS FALLS, NY 12590-5644
(845) 765-2269
(845) 765-2268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R0378181
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005397562
AETNA US HEALTHCARE
TX
05
—
01961724
—
NY
01
—
095408000
MBH IBR
MO
01
—
100367H
INDEPENDENT HEALTH
NY
01
—
1031400
BEACON HEALTH STRATEGIES
MA
01
—
121447
MBH
MO
01
—
135395
AFFINITY HEALTH PLAN
NY
01
—
1433866737
CARE PLUS HEALTH PLAN
AL
01
—
251339219
CIGNA
CT
01
—
274646000
MBH
MO
01
—
340435
MHN
KY
01
—
7483043
MBH
MO
01
—
996118
MVP
NY
01
—
N27361
MBCC PRUDENTIAL
MO
01
—
N458A1
EBCBS
NY
01
—
N7B32
EBCBS
NY
01
—
P11101072
MULTIPLAN
NY
01
—
P2105998
OXFORD
CT
01
—
P803653
OXFORD
NH
Enumeration date
12/01/2005
Last updated
03/26/2019
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