Individual
CATHERINE CARBALLEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
112 FRANKLIN PL, WOODMERE, NY 11598-1217
(516) 374-3671
(516) 374-7864
Mailing address
112 FRANKLIN PL, WOODMERE, NY 11598-1217
(516) 374-3671
(516) 374-7864
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16785
NY
1041C0700X
Clinical Social Worker
Primary
073124-1
NY
Other
Enumeration date
10/16/2008
Last updated
07/21/2022
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