Provider Demographics
NPI:1528138211
Name:WINCHESTER, DALE KOHKE (LCSW)
Entity type:Individual
Prefix:MS
First Name:DALE
Middle Name:KOHKE
Last Name:WINCHESTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:DALE
Other - Middle Name:KOHKE
Other - Last Name:BELFIGLIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSW
Mailing Address - Street 1:1081 DEVELOPMENT CT
Mailing Address - Street 2:COORDINATED CHILDREN'S SERVICES
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-1959
Mailing Address - Country:US
Mailing Address - Phone:845-334-5065
Mailing Address - Fax:845-334-5090
Practice Address - Street 1:1081 DEVELOPMENT CT
Practice Address - Street 2:COORDINATED CHILDREN'S SERVICES
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-1959
Practice Address - Country:US
Practice Address - Phone:845-334-5065
Practice Address - Fax:845-334-5090
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0770131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical