Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Carilli, LMSW, CASAC-T

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1700628955

Ethan Carilli, LMSW, CASAC-T is an Addiction (Substance Use Disorder) Counselor in Peekskill, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

1101 Main St
Peekskill, NY 10566-2907
Phone: (516) 659-0406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 124816 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1700628955
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW , CASAC-T
Sole proprietorNo
NPI enumeratedJune 10, 2024
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025

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