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

Individual provider Clinical Social Worker · NPI 1275240137

Kristen Amy Faccioli Licari, LCSW is a Clinical Social Worker in Blauvelt, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

498 Western Hwy
Blauvelt, NY 10913-2000
Phone: (845) 359-3400
Fax: (845) 359-5286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 068624 (NY)

Record details

NPI number1275240137
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 1, 2022
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022

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