Provider Demographics
NPI:1194429571
Name:MOLERIO, CAROLINE LUCY (LMSW)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:LUCY
Last Name:MOLERIO
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 1:1322 BALCOM AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-5802
Mailing Address - Country:US
Mailing Address - Phone:914-805-4506
Mailing Address - Fax:
Practice Address - Street 1:4010 DYRE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-2510
Practice Address - Country:US
Practice Address - Phone:718-547-4813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NY119108-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health