Doctor Name: | MS. ELLIE DARMIENTO |
NPI Number: | 1003976515 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | R029447-1 |
Business Practice Address: | 12516 83rd Dr Apt 1b Kew Gardens, NY - 114151901 |
Business Phone Number: | 7188493971 |
Business Fax Number: | |
Mailing Address: | 12516 83rd Dr Apt 1b, KEW GARDENS |
State: | NY |
Postal Code: | 114151901 |
Phone Number: | 7188493971 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 10/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R029447-1 |
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 |