Provider Demographics
NPI:1104148832
Name:TORRES, DAPHNE (LCSW R)
Entity type:Individual
Prefix:
First Name:DAPHNE
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:LCSW R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 DAVENPORT AVE
Mailing Address - Street 2:1G
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-3447
Mailing Address - Country:US
Mailing Address - Phone:914-813-1717
Mailing Address - Fax:
Practice Address - Street 1:10 FISKE PL
Practice Address - Street 2:#228
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-3205
Practice Address - Country:US
Practice Address - Phone:914-813-1717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR074404-1172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker