Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN JOSEPH DEROSALIA, LCSW-R
Active Sole ProprietorMR. JOHN JOSEPH DEROSALIA, LCSW-R is a Clinical Social Worker healthcare provider located in KINGSTON, New York. NPI 1669491163 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · KINGSTON, NY
Registration Details
- NPI Number
- 1669491163
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2006 (19.887276232433 yrs)
- Last Updated
- Jul 8, 2007
- License
-
R015144 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
276 FAIR STKINGSTON, NY, 124013848Browse NY providers · Browse ZIP 12401
- Phone
- 8453318384
- Fax
- 8453318384
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in KINGSTON, NY
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN H. GRANT | LCSW-R | 1508869256 |
| KIM CLARISSA DALLAS | LMSW | 1851383889 |
| TIMOTHY JOHN RODIER | LCSW-R | 1730171687 |
| JEAN L MOFFATT | LCSWR | 1487646303 |
| MS. NANCY THAKCER | LCSW-R; MSED | 1689641979 |
| MS. DAVI E OSGOOD | LCSW | 1730193194 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.