Donald J Decker, LCSW
Social Worker, Clinical in Fresh Meadows, NY. Individual provider (NPI-1).
NPI number1639705353
StatusActive
Last updated in NPPESMar 13, 2020
Details
- NPI
- 1639705353
- Entity type
- Individual (NPI-1)
- Name
- Donald J Decker
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 13, 2020
- Certification date
- Mar 13, 2020
- Last updated
- Mar 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 9860151 | NY | Yes |
Practice location
7810 164th StFresh Meadows, NY 11366-1229
Phone 718-506-1115
Mailing address
474 48th Ave Apt 25lLong Island City, NY 11109-5620
Phone 646-842-2835
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