Joanna Quinn Dattilo, lcsw
Social Worker, Clinical in Staten Island, NY. Individual provider (NPI-1).
NPI number1154472033
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154472033
- Entity type
- Individual (NPI-1)
- Name
- Joanna Quinn Dattilo
- Credential
- lcsw
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 16, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 055058 | NY | Yes |
Practice location
2795 Richmond AveStaten Island, NY 10314-5857
Phone 718-761-9800
Mailing address
47 Pleasant Plains AveStaten Island, NY 10309-2715
Phone 718-317-5273
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