EILEEN TERESA DENICOLO (NPI# 1932335494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932335494 |
| Entity Type | Individual |
| Full Name | EILEEN TERESA DENICOLO |
| Other Name | EILEEN TERESA BRADY |
| Credential | LCSW |
| Practice Address |
10 Tyburn Lane South Setauket NY 11720 |
| Mailing Address |
P.o. Box 330 Commack NY 11725 |
| Practice Telephone | 5166985511 |
| Practice Fax Number | 5164185377 |
| Mailing Telephone | 5166985511 |
| Mailing Fax Number | 5164185377 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
084416 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2534 Steinway St, Astoria, NY 111033702 | 7187775243 | 7187775250 |
| Street Address |
10 TYBURN LANE |
| City | SOUTH SETAUKET |
| State | NY |
| Zip Code | 11720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508409087 | Carolyn Barravecchio | Marriage & Family Therapist | 35 South Kennedy Drive, Centereach, NY 11720 | 2019-10-28 |
| 1588158406 | Robin Smith | Social Worker | 129 Dawn Drive, Centereach, NY 11720 | 2018-06-15 |
| 1154820553 | Amanda Grodewald-adler, Psy.d., Pllc | Clinic/Center | 1919 Middle Country Rd Ste 308, Centereach, NY 11720 | 2018-02-12 |
| 1760901144 | Gabrielle Tatiana Zutter | Behavior Technician | 23 Jay Road, Centerach, NY 11720 | 2017-09-16 |
| 1619401544 | Michelle Leblanc | Licensed Practical Nurse | 8 Catalina Ct, Centerreach, NY 11720 | 2017-04-18 |
| 1023557212 | Alexa Brooke Ruggiero | Student in an Organized Health Care Education/Training Program | 30 Strathmore Village Dr, South Setauket, NY 11720 | 2017-02-21 |
| 1336539519 | Rosemarie Bruno | Social Worker | 3771 Nesconset Hwy Ste 102a, South Setauket, NY 11720 | 2015-01-27 |
| 1225446115 | Kristen Kunkel | Specialist/Technologist | 26 Lily Dr, South Setauket, NY 11720 | 2014-07-24 |
| 1497175897 | Jacqueline Maddox | Student in an Organized Health Care Education/Training Program | 11 43rd Street, Centereach, NY 11720 | 2014-04-24 |
| 1336492370 | Valentina Blaine | Optometrist | 1958 Middle Country Rd, Centereach, NY 11720 | 2012-10-15 |
| Find all providers in zip 11720 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908350 | Alicia Mae Italiano | Social Worker | 6 Oneida Ave, South Setauket, NY 11720-1133 | 2019-11-30 |
| 1336539519 | Rosemarie Bruno | Social Worker | 3771 Nesconset Hwy Ste 102a, South Setauket, NY 11720 | 2015-01-27 |
| 1609174655 | Anne Piette | Social Worker | 10 Lynhaven Pl, South Setauket, NY 11720-1214 | 2011-02-28 |
| 1558413542 | Sara J Levinbook | Social Worker | 3771 Nesconset Highway, Suite 101b, South Setauket, NY 11720 | 2007-01-18 |
| 1619077153 | Penny Wilbur-harris | Social Worker | 15 Brookfield Ln, South Setauket, NY 11720-1444 | 2006-09-24 |
| 1821198524 | Bradley Richman | Social Worker | 4 Tracker Ln, South Setauket, NY 11720-1320 | 2006-09-22 |
| 1376580555 | John Michael Donoghue | Social Worker | Suite 208a 3771 Nesconset Hwy., South Setauket, NY 11720-1154 | 2006-05-31 |
| 1578046744 | Aviv Winer | Social Worker | 10 Tyburn Ln, South Setauket, NY 11720-1428 | 2018-09-12 |
| 1578056412 | Jessie Wilkinson | Social Worker | 10 Tyburn Ln, South Setauket, NY 11720-1428 | 2018-06-13 |
| 1861981045 | Kathleen Raiz | Social Worker | 10 Tyburn Ln, South Setauket, NY 11720-1428 | 2018-05-03 |
| Find all providers in SOUTH SETAUKET | ||||
| City | SOUTH SETAUKET |
| Zip Code | 11720 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.