Joanne Ditchik-Stutz, LCSW

Individual provider Active NPI Clinical Social Worker · Albertson, NY

NPI 1063787489 · NPPES record last updated Mar 19, 2012

Key facts

NPI
1063787489
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
PR020713 (NY)
Practice address
7 Hilldale Dr
Albertson, NY 11507-1021
Phone
(516) 305-8632
NPI assigned
Mar 19, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PR020713NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PR020713 NY Yes

Addresses

Primary practice location

7 Hilldale Dr
Albertson, NY 11507-1021

Mailing address

7 Hilldale Dr
Albertson, NY 11507-1021
Phone (516) 305-8632

Other providers in Albertson, NY

All providers in Albertson, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.