Provider Demographics
NPI:1649327834
Name:ANELLO-VAIL, LAURA (MSW, LCSW, CASAC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:ANELLO-VAIL
Suffix:
Gender:F
Credentials:MSW, LCSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 DICKENS ST
Mailing Address - Street 2:
Mailing Address - City:STONY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10980-3652
Mailing Address - Country:US
Mailing Address - Phone:845-429-7480
Mailing Address - Fax:845-429-7480
Practice Address - Street 1:25 DICKENS ST
Practice Address - Street 2:
Practice Address - City:STONY POINT
Practice Address - State:NY
Practice Address - Zip Code:10980-3652
Practice Address - Country:US
Practice Address - Phone:845-429-7480
Practice Address - Fax:845-429-7480
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0294251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical