Carissa Blasius, LCSW
NPI #1013457233 in Stony Brook, New York
Provider Information
- NPI Number
- 1013457233
- Entity Type
- Individual
- Name
- Carissa Blasius, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Mar 7, 2017
- Last Updated
- Mar 7, 2017
Practice Location
- Address
- 139 MAIN ST # C
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-1944
- Phone
- (631) 875-5979
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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