Provider Demographics
NPI:1699985358
Name:STIMAN, CAROLYN A (LCSW)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:A
Last Name:STIMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 RIVERSIDE DR.
Mailing Address - Street 2:#28
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330
Mailing Address - Country:US
Mailing Address - Phone:914-263-1927
Mailing Address - Fax:203-891-0766
Practice Address - Street 1:280 DOBBS FERRY RD.
Practice Address - Street 2:#102
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607
Practice Address - Country:US
Practice Address - Phone:914-263-1927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY076063-11041C0700X
NY0760631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical