Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Destefano, CASAC-T, BSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376139485

Michael Destefano, CASAC-T, BSW is an Addiction (Substance Use Disorder) Counselor in Valley Stream, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

50 W Hawthorne Ave 2nd Fl
Valley Stream, NY 11580-1158
Phone: (516) 569-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 35762 (NY)

Record details

NPI number1376139485
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC-T , BSW
Sole proprietorNo
NPI enumeratedDecember 14, 2020
Last updated in NPPESDecember 14, 2020
Certification dateDecember 14, 2020

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