Doctor Name: | MS. ANTONIA DEPALMA-BRANDT |
NPI Number: | 1003013905 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 073105 |
Business Practice Address: | 156 5th Ave Suite 508 New York, NY - 100107002 |
Business Phone Number: | 2127144539 |
Business Fax Number: | |
Mailing Address: | 10420 Queens Blvd, 20y FOREST HILLS |
State: | NY |
Postal Code: | 113753629 |
Phone Number: | 7186068587 |
Fax Number: | |
NPI Enumeration Date: | 07/03/2007 |
NPI Last Update Date: | 04/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 073105 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |