Individual provider · Type 1 NPI

Joanna Quinn Dattilo, LCSW

Clinical Social Worker · Staten Island, NY

NPI number 1154472033 Active

Practice location

2795 Richmond Ave
Staten Island, NY 10314-5857

Call (718) 761-9800 Map

Mailing address

47 Pleasant Plains Ave
Staten Island, NY 10309-2715

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X055058 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1154472033

Joanna Quinn Dattilo, LCSW's National Provider Identifier is 1154472033, issued on Jan 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Staten Island, NY. The record was last updated on Jul 8, 2007.