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Samuel Carlisle, LCSW

NPI 1548542483 · on the registry since 2011

Practice

Address
4530 Broadway 4e
New York, NY 10040
Phone
(917) 327-2025
Fax
(718) 396-6189

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York