Provider Demographics
NPI:1144974932
Name:PARISI, KATIE ANN (LMSW)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:ANN
Last Name:PARISI
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 1:1410 CURRY RD APT 414
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12306-4260
Mailing Address - Country:US
Mailing Address - Phone:518-424-4581
Mailing Address - Fax:
Practice Address - Street 1:16 N GREENBUSH RD STE 205
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-8581
Practice Address - Country:US
Practice Address - Phone:518-424-4581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY114413-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical