ANGELYSE ABALCO (NPI# 1083255251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083255251 |
| Entity Type | Individual |
| Full Name | ANGELYSE ABALCO |
| Other Name | ANGELYSE KENNGOTT |
| Credential | LMSW |
| Practice Address |
161 E Main St Smithtown NY 11787-2879 |
| Mailing Address |
63 Amityville St Islip Terrace NY 11752-1305 |
| Practice Telephone | 6313607578 |
| Mailing Telephone | 6318382091 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 098471 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 63 Amityville St, Islip Terrace, NY 117521305 | 6318382091 |
| Street Address |
161 E MAIN ST |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-2879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228498 | Nicholas Anthony Califano | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2020-09-02 |
| 1003450479 | Nicole Marie Corvaia | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2019-10-29 |
| 1073156378 | Emily Just | Student in an Organized Health Care Education/Training Program | 161 E Main St, Smithtown, NY 11787-2879 | 2019-10-21 |
| 1013550458 | Asriel King | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2019-10-17 |
| 1396388732 | Alexa N Mcglone | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2019-10-17 |
| 1003463639 | Elizabeth Susan Pullara | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2019-08-19 |
| 1952957193 | Michael Mehler | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2019-08-14 |
| 1538715966 | Rosalia Crowley | Student in an Organized Health Care Education/Training Program | 161 E Main St, Smithtown, NY 11787-2879 | 2019-08-12 |
| 1154974012 | Patsy Castillo | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2019-07-19 |
| 1063935211 | Kristin M Doran | Counselor | 161 E Main St, Smithtown, NY 11787-2879 | 2017-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234955 | Marni Butchkoski | Social Worker | 14 Buttonwood Path, Smithtown, NY 11787-4941 | 2020-10-30 |
| 1700497195 | Antonietta Bruccoleri | Social Worker | 22 Lawrence Ave Ste 211, Smithtown, NY 11787-3619 | 2020-08-11 |
| 1144887340 | Kathleen Sisti | Social Worker | 811 W Jericho Tpke Ste 106e, Smithtown, NY 11787-3220 | 2019-05-22 |
| 1740741677 | Christopher J Heedle | Social Worker | 285 Middle Country Rd., Suite Ll5, Smithtown, NY 11787-2980 | 2019-03-25 |
| 1841684784 | Mary Catherine Smith | Social Worker | 22 Lawrence Ave, Ste 213, Castle Counseling, Smithtown, NY 11787 | 2015-03-27 |
| 1477996817 | Andrea L Papp | Social Worker | 22 Lawrence Ave Ste 213, Smithtown, NY 11787-3619 | 2013-04-16 |
| 1134416027 | Christopher J O'donnell | Social Worker | 130 Morewood Dr, Smithtown, NY 11787-2335 | 2011-06-30 |
| 1316125578 | Ann Haddad | Social Worker | 35 Manor Rd, Smithtown, NY 11787-2751 | 2008-02-08 |
| 1124206016 | Danielle M Seidman | Social Worker | 811 West Jericho Tpke, Suite 106e, Smithtown, NY 11787 | 2008-02-04 |
| 1417152133 | Jeanne M Wolman | Social Worker | 363 Rt 111, Suite 103, Smithtown, NY 11787 | 2007-06-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.