Denise Taddonio, LCSW CASAC MAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

084449-1 Issued in NY

Practice address

472 Elwood Rd
East Northport, NY 11731-4003

Phone

(631) 747-7338

NPI assigned

Aug 7, 2019

Last updated

Apr 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1659926442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 ELWOOD RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314003",
            "telephone_number": "631-604-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 ELWOOD RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314003",
            "telephone_number": "631-747-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADDONIO",
        "first_name": "DENISE",
        "credential": "LCSW CASAC MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084449-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DLTADDONIOLCSW@GMAIL.COM",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "East Northport",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "472 Elwood Rd",
            "city": "East Northport",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117314003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Suffolk County Physical Therapy P C (Suffolk Physical Therapy)
• Lilyana Mary Sullivan, LMSW
• Arianna Suprina, N.P.
• Nicole Marie Surace, MS
• Erica Susa, LPN
• Adam Paul Tamburello, DPT
• Herbert Nelson Tandy, PTA
• Stephen Vincent Tartaglia, D.C.
• Alexandra Taryguina, RN
• Richard Thailer, PA-C

• Clinical Social Worker in East Northport, NY
• Providers in East Northport, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.