Provider Demographics
NPI:1538750013
Name:SABILLON, KRISTEN ANNE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:ANNE
Last Name:SABILLON
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 1:755 N BROADWAY STE 250
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-1076
Mailing Address - Country:US
Mailing Address - Phone:914-366-3600
Mailing Address - Fax:914-366-1302
Practice Address - Street 1:755 N BROADWAY STE 250
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-1076
Practice Address - Country:US
Practice Address - Phone:914-366-3600
Practice Address - Fax:914-366-1302
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY066532104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker