Doctor Name: | DIANA DIGIACOMO-CANELLAS |
NPI Number: | 1215060892 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 006422 |
Business Practice Address: | 55 Winthrop St New Britain, CT - 060521728 |
Business Phone Number: | 8608264985 |
Business Fax Number: | 8602244751 |
Mailing Address: | 35 Russell St, NEW BRITAIN |
State: | CT |
Postal Code: | 060521312 |
Phone Number: | 8602298887 |
Fax Number: | 8602298886 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 006422 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |