1528138211 NPI number — MS. DALE KOHKE WINCHESTER LCSW

Table of content: MS. DALE KOHKE WINCHESTER LCSW (NPI 1528138211)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528138211 NPI number — MS. DALE KOHKE WINCHESTER LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WINCHESTER
Provider First Name:
DALE
Provider Middle Name:
KOHKE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BELFIGLIO
Provider Other First Name:
DALE
Provider Other Middle Name:
KOHKE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
CSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1528138211
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1081 DEVELOPMENT CT
Provider Second Line Business Mailing Address:
COORDINATED CHILDREN'S SERVICES
Provider Business Mailing Address City Name:
KINGSTON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12401-1959
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-334-5065
Provider Business Mailing Address Fax Number:
845-334-5090

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1081 DEVELOPMENT CT
Provider Second Line Business Practice Location Address:
COORDINATED CHILDREN'S SERVICES
Provider Business Practice Location Address City Name:
KINGSTON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12401-1959
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-334-5065
Provider Business Practice Location Address Fax Number:
845-334-5090
Provider Enumeration Date:
11/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  077013 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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