Provider Demographics
NPI:1194265751
Name:CLEMENTE, LUIGI (CRC, LMHC)
Entity type:Individual
Prefix:
First Name:LUIGI
Middle Name:
Last Name:CLEMENTE
Suffix:
Gender:M
Credentials:CRC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8620 PARK LN S APT 5B
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-1250
Mailing Address - Country:US
Mailing Address - Phone:347-720-7094
Mailing Address - Fax:
Practice Address - Street 1:8620 PARK LN S APT 5B
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-1250
Practice Address - Country:US
Practice Address - Phone:347-720-7094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-02
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
0101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health