Milagros Dueno, LCSW

Individual provider Active NPI Clinical Social Worker · Douglaston, NY

NPI 1902128952 · NPPES record last updated Feb 18, 2010

Key facts

NPI
1902128952
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
R059241-1 (NY)
Practice address
24302 Northern Blvd
Douglaston, NY 11362-1150
Phone
(718) 423-6200
NPI assigned
Feb 18, 2010
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
R059241-1NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R059241-1 NY Yes

Addresses

Primary practice location

24302 Northern Blvd
Douglaston, NY 11362-1150

Mailing address

97 Fairview Ave
East Meadow, NY 11554-2122
Phone (516) 348-5842

Other providers in Douglaston, NY

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

Sources for this page

Verify at the official NPI Registry.