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

Mr. John Joseph Derosalia, LCSW-R

Individual provider Clinical Social Worker · NPI 1669491163

Mr. John Joseph Derosalia, LCSW-R is a Clinical Social Worker in Kingston, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

276 Fair St
Kingston, NY 12401-3848
Phone: (845) 331-8384
Fax: (845) 331-8384
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R015144 (NY)

Record details

NPI number1669491163
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedJuly 18, 2006
Last updated in NPPESJuly 8, 2007

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