Julianna Ardolina
Individual provider Active NPI Social Worker · Massapequa, NY
NPI 1346916673 · NPPES record last updated Aug 17, 2021
Key facts
- NPI
- 1346916673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 75 Grand Ave
Massapequa, NY 11758-4905 - Phone
- (516) 799-3202
- NPI assigned
- Aug 17, 2021
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
75 Grand Ave
Massapequa, NY 11758-4905
Mailing address
170 Smith Ave
Islip, NY 11751-4313
Phone (631) 605-3274
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.