Provider Demographics
NPI:1346429297
Name:CORRADO, DOREEN D (LCSW-R)
Entity type:Individual
Prefix:
First Name:DOREEN
Middle Name:D
Last Name:CORRADO
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 1:12 STILL CT
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-5916
Mailing Address - Country:US
Mailing Address - Phone:914-923-7500
Mailing Address - Fax:914-432-5253
Practice Address - Street 1:30 STATE ST
Practice Address - Street 2:SUITE 202
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-4608
Practice Address - Country:US
Practice Address - Phone:914-923-7500
Practice Address - Fax:914-432-5253
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-29
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0430351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical