Provider Demographics
NPI:1982580791
Name:DEPASQUALE, KRISTY LIN (LMSW)
Entity type:Individual
Prefix:MISS
First Name:KRISTY
Middle Name:LIN
Last Name:DEPASQUALE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 CODYS CT
Mailing Address - Street 2:
Mailing Address - City:SAUGERTIES
Mailing Address - State:NY
Mailing Address - Zip Code:12477-5060
Mailing Address - Country:US
Mailing Address - Phone:845-332-5123
Mailing Address - Fax:
Practice Address - Street 1:43 CODYS CT
Practice Address - Street 2:
Practice Address - City:SAUGERTIES
Practice Address - State:NY
Practice Address - Zip Code:12477-5060
Practice Address - Country:US
Practice Address - Phone:845-332-5123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY122686104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty