Provider Demographics
NPI:1871733899
Name:KROLL, DEBORAH C (LCSW)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:C
Last Name:KROLL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 W FESSLER DR
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1608
Mailing Address - Country:US
Mailing Address - Phone:845-362-3794
Mailing Address - Fax:845-362-1280
Practice Address - Street 1:7 W FESSLER DR
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-1608
Practice Address - Country:US
Practice Address - Phone:845-362-3794
Practice Address - Fax:845-362-1280
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR052261-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical