Provider Demographics
NPI:1528335205
Name:ARISTE, CLAUDEL (LCSW-R)
Entity type:Individual
Prefix:MR
First Name:CLAUDEL
Middle Name:
Last Name:ARISTE
Suffix:
Gender:M
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25314 CRAFT AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11422-2729
Mailing Address - Country:US
Mailing Address - Phone:917-597-5028
Mailing Address - Fax:
Practice Address - Street 1:25314 CRAFT AVE
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:NY
Practice Address - Zip Code:11422-2729
Practice Address - Country:US
Practice Address - Phone:917-597-5028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0480911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical