Provider Demographics
NPI:1104445956
Name:KAYE, ADRIANA MAYA (DSW, LCSW)
Entity type:Individual
Prefix:DR
First Name:ADRIANA MAYA
Middle Name:
Last Name:KAYE
Suffix:
Gender:F
Credentials:DSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 505
Mailing Address - Street 2:
Mailing Address - City:MILLERTON
Mailing Address - State:NY
Mailing Address - Zip Code:12546-0505
Mailing Address - Country:US
Mailing Address - Phone:518-560-0322
Mailing Address - Fax:
Practice Address - Street 1:112 GUN CLUB ROAD
Practice Address - Street 2:
Practice Address - City:MILLERTON
Practice Address - State:NY
Practice Address - Zip Code:12546-0505
Practice Address - Country:US
Practice Address - Phone:518-560-0322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-13
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0969101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical