Provider Demographics
NPI:1922471770
Name:CRESPO-WOO, JILLIAN ALLISON (LCSW)
Entity type:Individual
Prefix:MS
First Name:JILLIAN
Middle Name:ALLISON
Last Name:CRESPO-WOO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:JILLIAN
Other - Middle Name:ALLISON
Other - Last Name:CRESPO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2 APPLETREE LN
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-6814
Mailing Address - Country:US
Mailing Address - Phone:845-300-8827
Mailing Address - Fax:
Practice Address - Street 1:1400 PELHAM PKWY S
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1197
Practice Address - Country:US
Practice Address - Phone:718-918-3631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-02
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY090179104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker