Joanna Quinn Dattilo in Staten Island - Clinical
Joanna Quinn Dattilo - NPI 1154472033
Joanna Quinn Dattilo is a Clinical in Staten Island, New York. Joanna Quinn Dattilo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joanna Quinn Dattilo is 1154472033. The last update date is 2007-07-08.
Joanna Quinn Dattilo's current location address is 2795 Richmond Ave, Staten Island, New York. You can contact this provider via phone number 7187619800. The mailing address for Joanna Quinn Dattilo is 2795 Richmond Ave, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joanna Quinn Dattilo |
|---|---|
| Address | 2795 Richmond Ave, Staten Island, New York |
| Phone Number | 7187619800 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1154472033 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2795 Richmond Ave |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103145857 |
| Phone Number | 7187619800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 55058 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 55058 | NY | -- | |
| W22701 | NY | MAGELLAN-EMPIRE |
Post Comment/ Review Below
What is the Joanna Quinn Dattilo's unique identification number?
The Joanna Quinn Dattilo has been assigned the NPI (National Provider Identifier) Number 1154472033 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Joanna Quinn Dattilo's facilities are situated?
The facilities of Joanna Quinn Dattilo are physically located at the following address: 2795 Richmond Ave, Staten Island, NY, 103145857.
What is Joanna Quinn Dattilo's area of expertise and its corresponding taxonomy classification?
The Joanna Quinn Dattilo's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did Joanna Quinn Dattilo receive its 1154472033 assignment?
The Joanna Quinn Dattilo was assigned its 1154472033 on 2007-01-16, which is the date when this unique identifier was issued to the organization.
When was the Joanna Quinn Dattilo's information last updated?
The Joanna Quinn Dattilo's information was last updated on 2007-07-08.
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