Doctor Name: | MS. LAURA DELUCA WANI |
NPI Number: | 1568474930 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-R |
License Number: | R-050773-1 |
Business Practice Address: | 99b Main St Westhampton Beach, NY - 119782607 |
Business Phone Number: | 6317287275 |
Business Fax Number: | 6318542550 |
Mailing Address: | 2 Birchwood Ln, EAST QUOGUE |
State: | NY |
Postal Code: | 119424619 |
Phone Number: | 6317287275 |
Fax Number: | 6318542550 |
NPI Enumeration Date: | 08/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R-050773-1 |
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 |