Danielle Dicamillo, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

093512-1 Issued in NY

Practice address

9201 4TH Ave
Brooklyn, NY 11209-7065

Phone

(718) 748-1234

Fax

(718) 228-8819

NPI assigned

Oct 23, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 28, 2021 through Nov 28, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Karen Conlon Practice LCSW PLLC

  • Mental Health Counselor
  • New York, NY
  • NPI 1053900969
  NPD
• Karen Conlon Therapy LCSW PLLC

  • Mental Health Counselor
  • New York, NY
  • NPI 1669016291
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1104337658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097065",
            "telephone_number": "718-748-1234",
            "fax_number": "718-228-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097065",
            "telephone_number": "718-748-1234",
            "fax_number": "718-228-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICAMILLO",
        "first_name": "DANIELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093512-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Dibenedetto, DDS
• Kira Dibetta
• Jennifer Lynne Dibiase, LCSW
• Lora Dibner-Garcia
• Beth Ann Dicamillo, RN
• Marisa Marie Dicamillo
• Richard Joseph Dicasoli, MD
• Alexandria Dicaterino
• Dina Dicenso
• Cheri Ann Dicerbo, LMSW

• All providers in Brooklyn, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.