Doctor Name: | MR. DORIAN EDWARD POOLE |
NPI Number: | 1891981403 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW R5808 NY |
License Number: | R5808 |
Business Practice Address: | 8149 242 St Queens, NY - 11426 |
Business Phone Number: | 7183474905 |
Business Fax Number: | |
Mailing Address: | 8149 242 St, BELLEROSE |
State: | NY |
Postal Code: | 11426 |
Phone Number: | 7183474905 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2007 |
NPI Last Update Date: | 09/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R5808 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |